2015 Fortius Open / San Diego Weightlifting

2015 Fortius Open /
San Diego Weightlifting Championships
Saturday and Sunday, May 2nd and 3rd, 2015
Venue / Sanction:
Sanction Number: 33-15-18
CrossFit Fortius
4903 Morena Blvd, Suite 1206/1207/1208
Rose Canyon Business Park
San Diego, CA 92117
Meet Directors:
David Miller & Jesse Malcomb
(443) 413-7866
[email protected]
Entry Fee / Requirements: (Organizing committee and/or USAW reserve right to refuse entry)
Individual Registration: $60 – LIMITED TO 200 TOTAL ATHLETES
Team Registration: $80
To complete registration, you MUST:
1) Visit: http://bit.ly/1FbL1bi to pay 2) Fill out the last page of this form out and either scan/email to
[email protected]
BEFORE REGISTERING, PLEASE CONFIRM YOU CAN AND WILL MEET ALL OF
THE FOLLOWING REQUIREMENTS:
1) If you are not already a member, you must register as a USAW Member
(https://www.usaw.hangastar.com/Login.aspx) prior to competition and have
your USAW # and ID with Date of Birth on hand at the weigh-in (please note that
if you are not already a USAW member, this process will cost up to $50 –
good for 1 year)
2) You will adhere to the IWF Code of Conduct (2.8) and the Fortius Code of
Conduct. Any athlete, coach, or spectator that violates this code (especially
showing disrespect, aggression, or violence towards any official, referee, or meet
volunteers/directors) may be ejected from the competition with no refund at the
SOLE discretion of the meet directors.
3) Respect the facility, our equipment, and our neighbors. Please make sure to
park on the top level of the business park or risk being towed.
Deadline for Registration:
April 19th, 2015
Tentative Event Schedule*:
Saturday
Gender
Men
Women
Men
Women
Men
Women
Weight Classes (in kg)
56, 62
48, 53
69
58
77
63
Weigh In
6:00 AM
8:00 AM
10:00 AM
12:00 PM
2:00 PM
4:00 PM
Lift
8:00 AM
10:00 AM
12:00 PM
2:00 PM
4:00 PM
6:00 PM
Sunday
Gender
Women
Men
Women
Men
Men
Men
Weight Class(es)
69
85
75, 75+
94
105
105+
Weigh In
6:00 AM
8:00 AM
10:00 AM
12:00 PM
2:00 PM
4:00 PM
Lift
8:00 AM
10:00 AM
12:00 PM
2:00 PM
4:00 PM
6:00 PM
*SUBJECT TO CHANGE BASED ON REGISTERED LIFTERS, a revised schedule will be sent
out after April 19th
Costume Requirements:
If this is your 1st or 2nd competition, a singlet is NOT required. However, you must wear
tight fitting shorts and a tight fitting t-shirt or compression shirt. For everyone else,
singlet is required.
Awards:
Cash Prizes (*subject to change based on total number of entries)
Top 3 Overall Male and Female Senior (Open) Division (based on Sinclair formula)
1st: $400
2nd: $200
3rd: $100
Top 3 Overall Junior Lifters (Male and Female)
1st: $175
2nd: $125
3rd: $75
Top 3 Overall Masters Lifters (Male and Female) – based on Sinclair-Malone-Meltzer formula
1st: $175
2nd: $125
3rd: $75
Plus sponsor prizes for each *if available
Medals for Top 3 in Male / Female for Each Weight Class for:
Senior
Junior
Masters
Best Overall Lifter Male / Female Plaques (based on Sinclair formula)
For Reference:
Weight Categories for Women:
48kg (105.6#), 53kg (116.6#), 58kg (127.6#), 63kg (138.6#), 69kg (151.8#),
75kg (165#), 75+kg (165+#)
Weight Categories for Men:
56kg (123.2#), 62kg (136.4#), 69kg (151.8#), 77kg (169.4#), 85kg (187#),
94kg (206.8#), 105kg (231#), 105kg (231+#)
USA Weightlifting and IWF Rulebook (for technical rules for this competition):
http://www.iwf.net/wp-content/uploads/downloads/2013/10/IWF-TCRR-September2013.pdf
Referee Clinic:
Fortius Weightlifting will hold a short (and FREE) USAW Local (LWC) Referee Clinic
with test Thursday, April 30th at 6pm. Those who pass may sit to referee this
competition and earn their LWC Level Referee status!
2015 Fortius Open /
San Diego Weightlifting Championships
Saturday and Sunday, May 2nd and 3rd, 2015
Team Competition Information / Registration
Team Requirements:
8 Total Team Athletes Maximum
Men = Up to 4 Athletes
Women = Up to 4 Athletes
(2 maximum per weight class)
Team Points:
Based on placement in weight class
1st Place = 10 pts
2nd Place = 8 pts
3rd Place = 7 pts
4th = 6 pts
5th = 5 pts
6th = 4 pts
7th = 3 pts
8th = 2 pts
9th = 1 pt
Cost:
$80 per team
* Each member of your team will then pay the $60 individual registration, and be eligible
for individual awards / prizes as well.
Awards:
Top 3 Overall Teams (*subject to change based on total number of entries)
1st: $500
2nd: $250
3rd: $150
Top 3 Male & Female Team Plaques
Registration:
1. Visit: http://bit.ly/1FbL1bi to pay
2. Email your team name and list of members competing (with their gender and
weight class) to Meet Director ([email protected])
****BRING YOUR USAW CARD WITH YOU TO THE MEET****
Please enter me in the _________ kg category for this meet. In consideration of my entry in the 2015 Fortius Open
Championships (individually and collectively, the “competition”). I certify that I am sufficiently physically fit to participate
in the competition and I (and my parent or guardian, if I am a minor) hereby waive and release USA Weightlifting (the
USAW), its directors, officers, officials and agents, the Southern Pacific LWC, the Fortius Weightlifting Team, the CrossFit
Fortius, and the competition’s sponsors and organizers of and from any cause of action, loss, liability, claim demand or
expense of any kind whatsoever which I or my heirs or personal representatives may have bodily injury or illness and for
any other cost, damage or loss suffered or incurred by me or on my behalf in connection with my travel to and from, and
my participation in, the Competition and all related activities. The foregoing waiver and release shall not apply to injuries,
damages and losses resulting from injuries or medical expenses covered by accidental death, dismemberment and/or loss
of sight and medical insurance policies maintained by the USAW.
I (and my parents or guardian, if I am a minor) agree that the USAW and its agents, including the Competition’s sponsors
and organizers, may make judgments (with appropriate advice from available medical personnel) with respect to my
treatment, hospitalization or other medical care in the event of my illness or accidental injury in connection with my
participation in the Competition, if I become disabled or incompetent to make necessary and appropriate decisions for me
as though they stood in a relationship to me of parent, guardian or next of kin if circumstances require the USAW, its
agents or the Competition’s sponsors or organizers to make such judgments, and my next of kin (or my parent or
guardian, if I am a minor) hereby release and agree to hold the USAW and its agents, the Fortius Weightlifting Team, the
CrossFit Fortius, and the Competition’s sponsors and organizers harmless from and against any expense, cause of action,
liability, claim, demand or expense arising from good faith judgments made by the USAW, its agents and/or the
Competition’s sponsors and organizers concerning the treatment, hospitalization and/or medical care in the event of any
illness, injury or other emergency circumstance in connection with the Competition.
I (and my parent or guardian, if I am a minor) agree that I (and my parent or guardian, if I am a minor) will be financially
responsible for treatment, hospitalization and other medical care rendered to me in the event of my illness, injury or other
medical emergency circumstances in connection with the Competition, except to the extent my injuries and medical
expenses, if any, are covered by accidental death, dismemberment and/or loss of sight and medical reimbursement
insurance policies maintained by the USAW for my benefit, in which event I (and my parent or guardian, if I am a minor)
nevertheless will continue to be financially responsible for expenses of treatment, hospitalization and other medical care
in excess of such policies’ limits.
PLEASE TYPE OR PRINT ALL INFORMATION CLEARLY
NAME_________________________________________
DATE OF BIRTH________________AGE____________
ADDRESS___________________________________________________________________
(Street)
(City)
(State)
(Zip)
PHONE _________________________ EMAIL ADDRESS_____________________________
USAW NUMBER__________________USAW MEMBER EXP. DATE________
TEAM (if competing in the team competition)____________________________________________
WEIGHT CLASS_____________KG
BEST COMPETITION TOTAL ____________KG
(if this is your 1st meet, write “1st Meet”)
SIGNATURE___________________________________________ DATE_______________
ATHLETES UNDER AGE 18 MUST HAVE THE FOLLOWING SECTION COMPLETED BY THEIR PARENT OR LEGAL
GUARDIAN. (For athletes of minority age) I have explained to my son/daughter the aforementioned release and activity and
their ramifications, and I further consent to his or her registration for this USAW activity under the conditions and their
ramifications, and I further consent to his or her registration for this USAW activity under the conditions stipulated above.
SIGNATURE___________________________________________ DATE________________
PRINTED NAME__________________________________PARENT_____GUARDIAN_____