Sky Athletics

Please make Checks payable to:SKY ATHLETICS

Informed Consent

This form must be completed and submited with payment

before you will be allowed to participate.

I hearby grant permission for myself / child to attend Kiss the

Sky Vault Camps/Clubs (KTSVC). I verify that I / my child has

had a physical exam in the past year and is capable to participate in

 the activities related to pole vaulting.

I agree to indemnify, hold harmless, and defend Greg Hull,

Todd Lehman, KTSVC, USA Track and Field, Paradise Valley Community

College, Maricopa Community Colleges, their agents, employees and

sponsors from any and all liability for injury to myself and or my child,

as well as any damage caused by myself and or my child.

I understand that track and feild, and in particular pole vaulting

and many of its related actvities and other activities related to

KTSVC are potentially dangerous and could pose risk of injury. Should

medical attention be necessary, I herby athorize any physician or

trainer selected by club personnel to conduct medical or surgical procedures.

 I hereby grant permission for Kiss the Sky to use any photographs

or videotape of club related activities for the purpose of advertising or educational

materials development.