Record of Experience - Senior Individuals
Please submit a record of scores achieved during the Qualifying Period (January 1, 2023 - April 17, 2024). These scores must comply with the outlined criteria in the posted Selection Procedures. There must be a minimum of three (3) scores listed.
Due Date: April 17th, 11:59PM ET
Vaulter Name
First Name
Last Name
Vaulter Email
example@example.com
Vaulter Phone Number
Please enter a valid phone number.
Coach Email
example@example.com
Coach Phone Number
Please enter a valid phone number.
Parent Email (if Vaulter under 18)
example@example.com
Parent Phone Number (if vaulter under 18)
Please enter a valid phone number.
For Scores per competition, please use one field each for Compulsories to the left, Tech Test, and Freestyle. Please submit three (3) scores; extra space has been provided for additional competitions.
Score 1
Name of Competition
Date of Competition
Score Achieved - Comps to the left
Score Achieved - Tech Test
Score Achieved - Freestyle
Names of Judges at Competition
Score 2
Name of Competition
Date of Competition
Score Achieved - Comps to the Left
Score Achieved - Tech Test
Score Achieved - Freestyle
Names of Judges at Competition
Score 3
Name of Competition
Date of Competition
Score Achieved - Comps to the Left
Score Achieved - Tech Test
Score Achieved - Freestyle
Names of Judges at Competition
Score 4
Name of Competition
Date of Competition
Score Achieved - Comps to the Left
Score Achieved - Tech Test
Score Achieved - Freestyle
Names of Judges at Competition
Score 5
Name of Competition
Date of Competition
Score Achieved - Comps to the Left
Score Achieved - Tech Test
Score Achieved - Freestyle
Names of Judges at Competition
Score 6
Name of Competition
Date of Competition
Score Achieved - Comps to the Left
Score Achieved - Tech Test
Score Achieved - Freestyle
Narrative of Prior Record of Experience and Preparation (Required).
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