POLE VAULT COMPETITORS’ VERIFICATION FORM



POLE VAULT COMPETITORS’ EVENT VERIFICATION FORM

In compliance with NFHS Track & Field Rule 6-5-3, the MHSA has provided this form as the preferred method for verifying pole vaulters’ weights and pole ratings prior to any competition. Coaches should complete the form and submit it to the event manager prior to competition.

|Site for Competition: |      |

|Date of Competition: |      |

|Vaulters’ School: |      |

|Vault Coach’s Name: (print) |      |

|Head Coach’s Signature | |

|Classification: | AA A B C |

|Gender of Vaulters: | Boys Girls |

|Competitors |Pole Vault Information |

|Name |Grade |Vaulter’s Weight * |Pole Rating |Coaches’ Initials |

| 1. |      |      |      |      | |

| 2. |      |      |      |      | |

| 3. |      |      |      |      | |

| 4. |      |      |      |      | |

| 5. |      |      |      |      | |

| 6. |      |      |      |      | |

| 7. |      |      |      |      | |

| 8. |      |      |      |      | |

| 9. |      |      |      |      | |

|10. |      |      |      |      | |

|11. |      |      |      |      | |

|12. |      |      |      |      | |

|13. |      |      |      |      | |

|14. |      |      |      |      | |

|15. |      |      |      |      | |

*Includes full competition uniform and footwear.

For more information, contact MHSA at 406-442-6010.

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