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METAL MILITIA Powerlifting Fort William Henry - Lake George, NY Weigh ins at meet site: Day Before Meet- 9 AM - Closing and Meet Day at meet site - 8:00 AM - 9:45 AM - Lifting starts at 10 AM Bill Crawford (518) 668-5393, email Bench802plus@yahoo.com@yahoo.com SEND ENTRY FORM, WITH CHECK OR MONEY ORDER PAYABLE TO: Bill Crawford Adirondack Barbell Club 48 Canada ST Lake George ,NY 12845
Weight Classes Men: 114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 308, SHW Weight Classes Women: 97, 105, 114, 123, 132, 148, 165, 181, 198, SHW
DIVISIONS (Men & Women) Teenage: 14-15, 16-17, 18-19 Junior: 20-23 Open: 20 and older Sub master: 33-39 Master: 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80+ EQUIPMENT MUST MEET UPA SPECIFICATIONS. ONE PIECE LIFTING SUIT MUST BE WORN
Sculptured awards provided by “Skullptures by Seeker“. Awards will be given for 1st, 2nd, and 3rd places - Best lifter awards will be given based on entries. --------------------------------------------------------------------------------------------------------------------------------
Meet entry is $100 = Full Power Bench Only $75 Dead Only $75 Ironman ( Bench Dead) = $80. $25. Fee for any subdivision (example, open and junior)
NAME_____________________________________WT CLASS_______AGE DIV________
AGE/BIRTHDATE______________________________________
MAILING ADDRESS__________________CITY_____________________STATE_____ZIP_______
RELEASE FROM LIABILITY In consideration of the acceptance of my entry form in this power lifting competition, I intend to be legally bound for not only myself, but also for my heirs, executors and administrators. In signing this release from liability, I waive and release everyone connected with this competition from any and all liability and negligence which may arise from it.
SIGNATURE OF APPLICANT_________________________________________________________
SIGNATURE OF PARENT IF UNDER 21_________________________________________________
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