3-day hurdle SKILL FORM AND TECHNIQUE clinic.

The clinic will be conducted by Kdon Samuels owner and founder of KCAD (KDON
Comprehensive Athletic Development), with the aid of Monique Lovelock, former athlete of JCSU
track and field and all-American collegiate hurdler.
Kdon Samuels a USATF certified coach, National Champion, National Record Holder, Common
Wealth Games Finalist, and coach at CREC Aerospace and Engineering High School.
Items to be covered are
Proper warmup routine
Sprint / Hurdle Mechanics
Flexibility
Speed development
Strength & conditioning
Individual instruction / Video Analysis
Proper cooldown
This clinic is a rare opportunity for 60m - 400m hurdlers to learn FIRST HAND from one of the
best in the sport. Learn what it takes to become a world class athlete & hurdler. The Clinics'
primary focus is on developing skills necessary to advance in the hurdle events.
Ask yourself, what does it take to become one of the BEST athletes?
DATE

28TH-30TH DECEMBER 2016

PLACE

IRON FOR ZION TRAINING CENTER

31 TOBEY ROAD
BLOOMFIELD CT,06002

TIME

11AM-2PM

COST

$175 early, $205 after (12/16/16)

SIGN UP, SHOW UP, AND FIND OUT!!,

Be prepared to work.
Special guest: OLYMPIANS, WORLD CHAMPIONS AND NCAA ALL AMERICAN ATHLETES
WAIVERS/REGISTRAION FORMS CAN BE PICKED UP AND DROPED OFF AT LOCATION SHOWN ABOVE
CHECKS/MONEY ORDER

FOR MORE INFORMATION, PLEASE CONTACT

MAKE PAYABLE TO KDON SAMUELS.

KDON Comprehensive Athletic Development

860-922-6936 or 903-966-1600

REGISTRATION FORM
Name_____________________________________________________
Address__________________________________________________
City__________________ State ________________Zip ____________
Phone________________________
Email ______________________________________________
D.O.B____________________________________
Gender: _________Male Female

Grade: _____________ (6th Grade 12th Grade/College)

Hurdle event/s_________________ Best time/s___________

1.

It is highly recommended that Clients are approved by their Physician before

participating in this or any other fitness program or regimen with KDON
Comprehensive Athletic Development or others.
2. Client certifies that:
i. He/she and or his/ her child is physically capable of participating in a
strength, flexibility and aerobic training exercise program and using the
equipment associated with such training;
ii. he/she is over the age of eighteen (18) OR has permission from a parent or
guardian;
iii. he/she has either (I) had a physical examination and has been given a
physicians approval to participate in this training program; or (ii) decided
to participate in this training program without the approval of a
physician.
3. Client agrees on behalf of him/herself and his/her personal representatives or heirs to
release and discharge KCAD, IRON FOR ZION TRAINING CENTER agents,
representatives, successors and assigns from all claims or causes of actions (known
and unknown) arising out of this training program including without limitation injury
or loss resulting from Clients use of any equipment or facilities which break or
malfunction.

AMOUNT ENCLOSED: __________ (Make checks payable to KDON SAMUELS)

PARENTS SIGNATURE: ______________________________________ DATE__________________
RETURN ADDRESS FOR PAYMENT RECEIPT
CONFORAMTION_________________________________________________________________________

MAIL REGISTRATION FORMS WITH PAYMENT TO:

RE: KDON SAMUELS
IRION FOR ZION TRAING CENTER
31 TOBEY ROAD
BLOOMFIELD CT,06002

FORMS RECEIVED AFTER DECEMBER 16TH WILL

BE CONSIDERED AS LATE
Registration fees are non-refundable.