Ladies Lift Here, in conjunction with Teambix & Hudson Valley Strength, proudly presents: STRONGMAN MANIA A one day, 3 show strongman extravaganza.15 different strongman events, no other sports, all under one roof. Sanctioned through NAS, Teambix will host a Platinum Plus show, Hudson Valley Strength a ALL WOMEN’S STRONGMAN COMPETITION Level II Men’s Only Event, and Ladies Lift Here will host an All Women’s Strongman Competition. DATE : Saturday, July 18, 2015 LOCATION : NEPA CrossFit, 180 Courtright St, Plains, PA 18702 TIME : Weigh-Ins : 8AM / Rules : 9AM / Contest : 10AM - 3PM ENTRY: $60 : Deadline is July 10, 2015 (or until we have reached the athlete cap) PROMOTER : Amanda Kulik / 717.686.2623 / [email protected] DIVISIONS : NOVICE WOMEN OPEN WOMEN MASTERS WOMEN (LW/MW/HW)(LW/MW/HW)(open class) CLASSES : LW 0-140.4 MW 140.5 - 180.4 HW 180.5 + If there are not 5 or more competitors per weight class, they will be combined. If there are not 5 Masters they will compete with the MW Novice Women. NAS membership is required of all participants. Prizes : T-shirt and athlete gift bag for competitors : 1 Place Novice, 1-3 Place Open, 1 Place Master EVENTS : 1. LOG PRESS : 60 secs : C&P every rep : 10” log 2. TRAP BAR DEADLIFT : 60 secs : no straps or suits 3. SANDBAG : Max distance : sandbag must be bear hugged : no walking backward 4. STONE SHOULDER : 60 secs 5. KEG TOSS : 60 secs : 5 quarter kegs over bar : height TBD WEIGHTS : Log press trap Bar Deadlift Sandbag Stone Shoulder KEG Toss LW : N / O MW : N / O / M HW : N / O 100 / 115 250/ 285 125 / 150 125 5 kegs 115 / 125 / 115 285 / 315 / 285 150 / 175 / 150 125 / 150 / 125 5 kegs 125 / 145 315 / 350 175 / 200 150 / 175 5 kegs Events/weights subject to change. www.LadiesLiftHere.com ALL WOMEN’S STRONGMAN COMPETITION ENTRY FORM/WAIVER In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors and administrators, and my assignees, waive, and release all rights and damages I may have against (Amanda Kulik, Ladies Lift Here LLC, Kyle Bixler, Teambix, NEPA CrossFit and all sponsors of the event, their representatives and assigns, for any and all injuries incurred by me in conjunction with this competition and in travelling to and from the event. And in further consideration of permission being granted to me to participate in Strongman Mania All Women’s Strongman Competition and its related events, I hereby grant Amanda Kulik, Hearth Creative LLC, Ladies Lift Here LLC, Teambix, NEPA CrossFit and/or any other approved video or entertainment organization and all of their agents, successors, licensees, and assigns, the right to photograph or otherwise reproduce (whether by film, tape, still photography or otherwise) my voice, appearance, and name, and to exhibit, distribute, transmit, and/or otherwise exploit any and all media, including without limitation, by means of still photography, motion pictures, radio, television, television motion pictures, video, printing or any other medium now known or hereafter devised, including with respect also to any merchandising, advertising, and/or publicity, and the right to use my name and information about me in any connection with any of the foregoing. The rights granted by me hereunder are granted for the entire universe and shall endure in perpetuity and no further compensation shall be payable to me at anytime in connection therewith. Nothing contained herein shall be deemed to obligate Amanda Kulik, Hearth Creative LLC, Ladies Lift Here LLC and/or any other approved video or entertainment organization, to photograph or otherwise reproduce my voice, appearance or name, or to make use of any rights granted herein. I also understand that the aforementioned rights may be reassigned at any time without further consent. I understand that Amanda Kulik, Hearth Creative LLC, Ladies Lift Here LLC and/or any other approved video or entertainment organization are videotaping and photographing the event in express reliance upon foregoing, and I represent and agree that I am free to grant the rights granted to Amanda Kulik, Hearth Creative LLC, Ladies Lift Here LLC and/or any other approved video or entertainment organization hereunder. Therefore I affix my signature below: Name ___________________________________________________________________ Age _________ Date of Birth ______ / ______ / ______ Address _______________________________________________________________ City _________________ State _____ Zip ____________ Phone_______________________________________ Email _____________________________________________________________________ Tank top Division: M Weight Class: NOVICE OPEN MASTERS Men’s Sizes: S LW MW HW Women’s Sizes: S L M or XL L T-shirt 2XL XL 2XL 3XL 4XL 3XL Signature _______________________________________________________________________________________________________________ Parent/Guardian Signature ________________________________________________________________________________________________ (Parent or guardian signature required if contestant is under 18 years of age) Please make checks payable to: Ladies Lift Here c/o Amanda Kulik 462 Poplar Street Lancaster, PA 17602 You may also use PayPal by sending payment to [email protected], however you must STILL send a physical or electronic copy of THIS entry form. ALL ENTRIES ARE NON-REFUNDABLE / NON-TRANSFERABLE www.LadiesLiftHere.com
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