Rocket Man Pole Vault 

Outdoor Pole Vault training and meet facility  -  Mooresville - Lake Norman, North Carolina

The three sets of forms below must be submitted before participating.
Valid for one calendar year.

1. Athlete's Membership and Insurance Information

2. Waiver, Release and Consent Form

3. Athlete's Medical History Questionnaire & Physician's Clearance Form

Download and print     


.pdf: fill & sign

then submit via email

After injury or illness, 

remember to return this form

 to your doctor to sign 

in order to be cleared to return to sport. 

Bring it with you upon return.