The USAPL Gym and TLS Raw Challenge Sanction # PA-2015-06 An Official Qualifier for 2015 USAPL Raw and Bench Press Nationals Saturday, July 18, 2015 Trooper, PA Entry Deadline: July 10, 2015 This is a 3-lift and single lift competition being held in Trooper, Pennsylvania. We will be limiting the competition to the first 60 lifters registered. Get your entry in as soon as possible to reserve your spot in the meet. Attention: We will be using the new IPF/USAPL weight categories along with IPF Masters age groups. This will be an equipped and unequipped (raw) event. You can enter only equipped or unequipped (raw) – not both. Out-of-State Lifters are welcomed to compete in the Out-of-State Division Event Location: Gym & Tan Line Studio, Park Ridge Shopping Center 2725 West Main Street Trooper, PA 19403 Schedule: Saturday, July 18, 2015 Session 1: 7:00 am to 8:30 am: Weigh-in – All Women and Men 53 kgs to 83 kgs weight classes 9:00 am: Session 1 starts Awards to be presented at the end of each session Session 2: 12:00 pm to 1:30 pm: Weigh-in – Men 93 kgs to 120 kgs weight classes 2:00 pm: Session 2 starts Awards to be presented at the end of each session Eligibility: No qualifying totals. Lifters must be registered with the USAPL and must be drug free by the definition of the USAPL. At least 10% of the lifters will be drug tested. USAPL cards will be available at the meet. Non-Pennsylvania residents may compete in the Out-of-State Divisions. The USAPL Gym and TLS Raw Challenge Sanction # PA-2015-06 An Official Qualifier for 2015 USAPL Raw and Bench Press Nationals Saturday, July 18, 2015 Trooper, PA Entry Deadline: July 10, 2015 Fees: Powerlifting (3-lifts): $70 for the first division; $35 for each additional division Bench Press (single lift): $50 for the first division; $35 for each additional division Spectators (Day of Event): $5.00 per person (payable at the door) Weight Classes: Women: 94.75 lbs/43 kgs (Teen and Junior Only) 103.50 lbs /47 kgs 114.5 lbs/52 kgs 125.50 lbs/57 kgs 138.75 lbs/63 kgs 158.50 lbs/72 kgs 185.00 lbs/84 kgs 185.00 lbs/84+ kgs Men: 116.75 lbs/ 53 kgs (Teen and Junior Only) 130.00 lbs/59 kgs 145.50 lbs/66 kgs 163.00 lbs/74 kgs 182.75 lbs/83 kgs 205.00 lbs/93 kgs 231.25 lbs/105 kgs 264.50 lbs/120 kgs 264.5+ lbs/120+ kgs Requirements/Eligibility Requirements: No qualifying totals. Must be a registered USAPL Member (Memberships will be sold at weigh-ins. Out-of-State lifters are welcomed). Awards: All divisions will receive awards for the top three (3) lifters, by weight class. Raw Definition: Singlet, belt, commercial knee sleeves (example: rehbands) and wrist wraps. Recommended hotels: Homewood Suites by Hilton Philadelphia – Valley Forge 681 Shannondell Boulevard Audubon, PA 19403 610-539-7300 Hampton Inn & Suites Valley Forge/Oaks 100 Cresson Boulevard Phoenixville, PA 19460 610-676-0900 The USAPL Gym and TLS Raw Challenge Sanction # PA-2015-06 An Official Qualifier for 2015 USAPL Raw and Bench Press Nationals Saturday, July 18, 2015 Trooper, PA Entry Deadline: July 10, 2015 Registration Form Name: Age: Date of Birth: Address: Address: City: State: Zip: Phone: Email: Male: Female: Raw: Equipped: Pennsylvania Resident: Powerlifting: Yes No (Circle one) Bench Press: Division: Open Youth 10-13 Sub-Jr. 14-15 Sub-Jr. 16-17 Sub-Jr. 18-19 Junior 20-23 Masters 40-49 Masters 50-59 Masters 60-69 Masters 70-79 Masters 80-89 Special Olympian Police/Fire/Military The USAPL Gym and TLS Raw Challenge Sanction # PA-2015-06 An Official Qualifier for 2015 USAPL Raw and Bench Press Nationals Saturday, July 18, 2015 Trooper, PA Entry Deadline: July 10, 2015 Fees: Powerlifting (3-lifts): $70 for the first division; $35 for each additional division Bench Press (single lift): $50 for the first division; $35 for each additional division Total due: Make checks payable to: Joe Braca Mailing address: 629 Argyle Avenue, Ambler, Pa. 19002 Contact: joe.braca@yahoo.com All entries must be postmarked by July 10, 2015. Release from Liability Please read this carefully before signing. You will be giving up important legal rights. In consideration of the acceptance of my entry form in this powerlifting competition, I intend to be legally bound for not only myself but also for my heirs, my executors and my administrators. In signing this release from liability, I waive and release everyone connected with, including but not exclusively limited to Don Wilson, Joe Braca, The Underground Gym, Gym & Tan Line Studio of Trooper, the spotters, the loaders, the facility owners, the referees and equipment manufacturers associated with this competition from any and all liability, including any result of negligence, which may arise from this competition. Moreover, I agree that any testing method which the meet director and the sponsors of this meet use to detect the presence of strength inducing drugs SHALL BE CONCLUSIVE. This is whether I think the results of the test are right or wrong, I agree that I have no right to challenge the results of the drug tests. I further agree to submit to any physical test which may be necessary to complete the drug testing. Should I fail to pass the drug tests, I agree to forfeit any trophy or award which I may have won. I understand and agree that if I fail to pass the drug tests, my name will appear on a published list of suspended members. If it is determined that I have failed the drug test, I agree to waive any claim for which legal relieve is available. I agree to pay any attorney fee and litigation expenses by any person, real or corporate, whom I may sue in an effort to challenge this release form liability form. I understand that my agreement to pay attorney fees and litigation expenses is the SINE QUA NON for acceptance of my entry into this contest. If any provision of this Release from Liability shall be deemed by a court of competent jurisdiction to be invalid, the remainder of this Release from Liability shall remain in force and effect. I also certify with my signature that this release/agreement cannot be modified orally. Signature of competitor Signature of parent or legal guardian, if the competitor is under 18 years of age
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