THIS FORM MUST BE CARRIED TO ALL MEETS AND COPY SENT IN WITH YOUR STATE MEET ENTRY FORM. V.P.A. POLE VAULTER’S WEIGHT CERTIFICATION FORM TO ALL MEMBER SCHOOLS - Member schools will be required to process the Pole Vaulter’s Weight Certification Form listing each student participating in the pole vault event. This form is to be on file in the Athletic Director’s Office prior to a pole vaulter’s first interscholastic competition. It will be required to update this form when a weight change necessitates the use of a new pole rating. ***Copies of this form should be available at the competition site for comparison with the manufacturer’s pole rating of the pole(s) used by each vaulter during that competition. SCHOOL __________________________________________________________________ Name of Vaulter 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________ ________________________________________

Vaulter’s Weight*

Pole Rating

______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._

______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._ ______lbs._

*Includes full competition uniform and footwear Date _________________ Date _________________ Date _________________

Signature of Principal ________________________________ Signature of Athletic Director ________________________________ Signature of Coach ________________________________

Clinic Attendance Certification No. _____________________ NOTE TO SCHOOL OFFICIALS National Federation High School Track and Field Rule 7, Section 5, ART. 3 & ART. 4: ART. 3 . . . The competitor’s weight shall be at or below the manufacturer’s pole rating. The manufacturers must include on each pole: the pole rating that shall be a minimum of ¾ inch in a contrasting color located within or above the top handhold position; a 1-inch circular band indicating the maximum top hand-hold position with the position being determined by the manufacturer. Prior to competition, the coach must verify that all of the school’s pole vaulters and poles meet these requirements. NOTES: 1. Etchings, serial numbers, etc. that may appear on poles shall not replace the requirement of the manufacturer’s pole rating of the minimum ¾-inch marking in contrasting color on each pole. (7-5-3) 2. Each state association shall determine its own procedure regarding coaches’ verification. ART. 4 . . . A competitor shall not use a variable weight pole, a pole which is improperly marked or a pole rated below his/her weight, or any other equipment that is not legal during warm-up or competition. NOTE: Altering the pole in any fashion renders it illegal. PENALTY: Disqualification from the event. Note: Here are manufacturer contacts for poles requiring new weight labels: 1. UCS Spirit -> (800) 537-7117 (http://www.ucsspirit.com) 2. Gill Athletics (Carbon FX Weave, Carbon FX, Pacer FX, Skypole Carbon, Skypole, Skypole E-Z Plant, Carbon Mystic Weave, Carbon Mystic, Pacer Mystic, Big Stick, Rocket, Lady Rocket) -> (800) 637-3090 (http://www.gillathletics.com) 3. Essx (Essx, Maxima 4, Fibersport, Cata-Pole) -> (877) 367-3779 (http://www.essxpv.com) 4. Altius -> (800) 374-7653 (http://www.altiuspoles.com) 5. Nordic Sport -> [email protected] (http://www.nordicsport.com)

this form must be carried to all meets and copy sent in ...

Form listing each student participating in the pole vault event. ... handhold position; a 1-inch circular band indicating the maximum top hand-hold position with ...

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