The 2002 USAPL Slippery Rock Bench Bash
September 15, 2002

Official Entry Form
LATE ENTRY DEADLINE Aug 31ST!!!

Information Page

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Age:________  Date of Birth_____/_____/_____
Wt. Class________  Sex_________ 
Name:_____________________________________________

Address: Street_____________________________________
City________________________________________
State_____ ZIP__________ 

Phone (______)______________________
USAPL Card # _________________
EMAIL_________________________
Best Bench___________lbs. 

 

Check All Divisions entered: 

 

Male

Female

Open 

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Teenage

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Master 1 (40-49)

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Master 2 (50-59)

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Master 3 (60-69)

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Master 4 (70-79)

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Junior(20-23)

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Special Olympian

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Release from Liability Read this carefully.
When you sign it 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 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 might otherwise 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. f it is determined that I have failed the drug test, I agree to waive any claim for which legal relief 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 from liability form. I understand that my agreement to pay attorney fees and litigation expenses is the SINE QUA NON for acceptance of my entry in 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 Contestant

 

 

__________________________

Signature of Parent or Legal Guardian 
if the contestant is under 21 years of age

 ENTRY FEE: $35.00 for the first division, $20.00 each additional division.
ENTRY DEADLINE Aug 31st!!!

Late entry fee $45 for the first division, $30 each additional division 


Mail Entry Form & Fee to:

Jason Beck

One Good PL, #1

Portersville
, PA 16051

Home # 724-368-8932


 

Contest Sponsors:  

SRU Barbell Club
SRU Powerlifting Club
Moveitfitness
J&M Fitness
Superior Sports Supplements