2018/2019 WSTC Training Entry Form

Willamette Striders Track Club

14388 So Maplelane Rd

Oregon City, Or 97045

Name______________________________________Gender__M__F_ Age__________ Address___________________________

City ____________________State________Zip __________ Phone # ___________________________

School __________________ Date of Birth _____________ Personal Record ____________________

Other events with performances _____________________

Email Address _____________________________ Facebook ___________________________

Get all updates and latest social information from www.facebook.com/willamettestriders.

USATF Membership Number (req.) _____________________________ www.usatf.org for membership

Please check choices (Each Pole Vault group is limited to 12 athletes. First come, first served basis)

_____ Monday/Wednesday 4 to 6 Athletes with no WSTC experience.
_____ Monday/Wednesday 6 to 8 Athletes with no WSTC experience.
_____ Tuesday/Thursday 4 to 6 Athletes with 1 year or more of Club experience.                                                                                                                                                                                                                _____ Tuesday/Thursday 6 to 8 Athletes with 1 year or more of Club experience.

Cost: $180 per Month 1/2 Month: $120

1 Session (if Open): $50

_____ Advanced Level: For the very serious competitor! Training in 2 hour blocks/ four times per week Training to include Technique, Speed, strength, Coordination and Power.

The goals for this group are for preparation to compete at the State, National or International Level. Entry is by application only.

Cost: $220 per month

Please send in this Entry Form and first month payment to reserve a spot.

or just pay with Paypal from the programs page on the website.

Training Facility located at:14388 So Maplelane Road Oregon City Or 97045

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