Massachusetts and Rhode Island Open State Powerlifting Championships Presented by Big Iron Powerlifting Sanctioned By: USA Powerlifting (USAPL) Sanction # RI-2015-01 Meet Director: Michael Zawilinski Date, Time, Place: Saturday and Sunday May 30-31, 2015 Next Level Fitness & Athlete Training Center, 12 Industrial Lane, Johnson, RI 02919 Eligibility: Must be a registered USAPL Member. There is no qualifying total required! USAPL Membership: It is strongly recommended to pre-register for your membership online because it is $5 cheaper and easier for on meet day. Please log on to the following site to register and pay for your membership: https://secure.jotform.us/form/50721301875147 Memberships will also be sold at registration at the meet for $50 prior to weigh-ins. Uniforms: One piece lifting suits and non supportive briefs without legs are required for all contestants for both competition and weigh-ins. ALL equipment must conform to USAPL/IPF standards, supportive suits, shirts and wraps must be manufactured by IPF Approved Manufactures. All others are not allowed!! For further clarification please visit http://www.powerlifting-ipf.com/17.html Weight Classes: Men: 116, 130, 145, 163, 183, 205, 231, 264, 264+ Women: 94, 103, 114, 125, 138, 158, 185, 185+ Championship Awards: The following awards will be presented at the competition: 1. Awards will be presented to 1st – 3rd place finishers for each open weight class for both Raw and Equipped. 2. Awards will be presented to 1st – 3rd place finishers for each division, based on wilks for both Raw and Equipped. 3. Team trophies will be presented for 1st – 3rd place. Teams must be entered by the deadline!! Technical Rules: This competition is sanctioned by USA Powerlifting and all USAPL/IPF Technical rules will be followed. The Technical rules can viewed here: www.usapowerlifting.com/committees/technical Championship Website: All official announcements and updates will be made on this website. It will be important that you review this site on a regular basis: www.Mass-Lift.com Drug Testing: There will be a urinalysis test given and a release form to be signed by each and every contestant competing. Failure to submit to and/or pass the drug test will result in DISQUALIFICATION. Admission for spectators and personal coaches: $10.00 at the door. USA Powerlifting – Who We Are USA Powerlifting (formerly American Drug Free Powerlifting Association, Inc.) is the leading powerlifting organization in the United States. USA Powerlifting is a member of the International Powerlifting Federation (IPF), the governing body of powerlifting internationally. The IPF is comprised of member federations of 100+ countries on six continents. USA Powerlifting, through its affiliation with the IPF, also sends a national team to participate in the World Games. The World Games is an international multi-sports event hosted by the International World Games Association (IWGA) that falls under the patronage of the International Olympic Committee (IOC). The event consists of official sports and demonstration sports selected from those not included in the Olympic Games. The Games are held every fourth year, following the year of the Summer Olympics. 4.02.2015 Massachusetts and Rhode Island Open State Powerlifting Championships Presented by Big Iron Powerlifting PRILIMINARY TIME TABLE: Any updates or changes will be posted on www.mass-lift.com Two Day Format: Saturday, May 30, 2015 Session I 7:00 to 8:30 am – Weigh-in/Equipment check for ALL women’s weight classes. 8:30 to 9:00 am – Rules briefing and/lifter warm-up 9:00am to 1:00 pm – Competition Lifting 1:00 to 2:00 pm – Awards presentation / Drug-testing protocol Session II 12:00 to 1:30 pm – Weigh-in/Equipment check for men’s weight classes: 116 through 163 1:30 to 2:00 pm – Rules briefing and/lifter warm-up 2:00pm to 6:00 pm – Competition Lifting 7:00 to 8:00 pm – Awards presentation / Drug-testing protocol Sunday, May 31, 2015 Session I 7:00 to 8:30 am – Weigh-in/Equipment check for men’s weight classes: 183 through 205 8:30 to 9:00 am – Rules briefing and/lifter warm-up 9:00am to 1:00 pm – Competition Lifting 1:00 to 2:00 pm – Awards presentation / Drug-testing protocol Session II 12:00 to 1:30 pm – Weigh-in/Equipment check for men’s weight classes: 231 through 264+ 1:30 to 2:00 pm – Rules briefing and/lifter warm-up 2:00pm to 6:00 pm – Competition Lifting 7:00 to 8:00 pm – Awards presentation / Drug-testing protocol Official Qualifier for: ü ü ü 2015 Bench Press Nationals- Scranton, PA 2015 Raw Nationals- Scranton, PA 2015 Push-Pull and Deadlift Nationals- Killeen, TX ü ü ü ü ü ü 2016 High School Nationals- Orlando, FL 2016 Collegiate Nationals- Providence, RI 2016 Open Nationals- Aurora, CO 2016 Bench Press Nationals- Aurora, CO 2016 Raw Nationals, Atlanta, GA 2016 Push-Pull and Deadlift Nationals- Scranton, PA 4.02.2015 Massachusetts and Rhode Island Open State Powerlifting Championships Presented by Big Iron Powerlifting Name_________________________________________________ E-mail: _______________________________________ (Please print E-mail clearly). Address: _____________________________________________ City: _______________ State: ____Zip Code: ________ Cell Phone: ( ) __________________ Home Phone: ( ) ______________________ Weight class that you will be lifting in: __________Age: ______ Date of Birth: ___/____/______ Gender: M / F USAPL Membership Card #: _______________ Expiration Date: ______________ Powerlifting Club______________ (Can be purchased at the contest) RELEASE FROM LIABILITY AND CONSENT TO DRUG TEST: 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 directors 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. If 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, which 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 lifter Date: Signature of Legal Guardian Date: If Contestant is under 18 Check the Divisions you will be lifting in: Raw Equipped □ □ All athletes will be entered in the open age division and we will award the top 3 Wilks scorers for teens, juniors and masters at the conclusion of each day or session depending on the number of entries for full meet lifters only. ENTRY FEE (S): Please make checks or money orders _____$65.00 – Bench Press Only Competition payable to: BIG IRON POWERLIFTING _____$65.00 – Deadlift Only Competition _____$65.00 – Push/Pull only Competition [Bench Press and Deadlift] _____$65.00 – Powerlifting Championships [Squat, Bench Press and Deadlift] _____$90.00 – Bench Press Only Competition & Powerlifting Championship _____$90.00 – Deadlift Only Competition & Powerlifting Championship _____$60.00 – Team Entry Fee (please see reverse side of this form) _____$45.00 – Late Fee if competition entry form is post-marked after Friday, May 1, 2015 _____Total Enclosed APPLICATIONS MUST BE POSTMARKED NO LATER THAN FRIDAY, MAY 1, 2015 Important Note: If your application/entry form is late, you must notify the meet director either by e-mail or telephone. There are no refunds for any reason after Friday, May 1, 2015. The late fee will apply to everyone. CHECK OR MONEY ORDERS PAYABLE TO BIG IRON POWERLIFTING AND MAILED TO THE FOLLOWING: Big Iron Powerlifting PO Box 93 Hanson, MA 02341 Telephone: 781.706.4009 * E-mail: [email protected] Must be post-marked no later than Friday, May 1, 2015 Online entry and up to date information: www.mass-lift.com 4.02.2015 Massachusetts and Rhode Island Open State Powerlifting Championships Presented by Big Iron Powerlifting FULL TEAM NAME:___________________________________________________________________ HEADCOACH: ___________________________TEAM MANAGER: ___________________________ PHONE: ______________________USAPL Team Registration Number: ________ Expiration: ______ TEAM ENTRY FEE Team entry fees are $60.00 for each division. Additionally, each team member must fully complete an individual entry form and forward the appropriate entry fees. TEAM ROSTER No. Lifter Weight Class USAPL Card #: 1 2 3 4 5 6 7 8 9 10 ALTERNATES 1 2 TEAM SCORING Each USAPL team is allowed a maximum of ten competitors spread throughout the range of the ten bodyweight categories for men and nine competitors throughout the range of nine bodyweight categories for women. A registered USAPL team is allowed a maximum of two alternates or reserves. These alternates may be substituted at any time prior to the commencement of the weigh-in for their bodyweight category. Each team roster (individual’s name and bodyweight class) must be turned in to either the Meet Director or Technical Secretary before the weigh-in of the first competitive session. Team point scoring for all other competitions (regional and local) championships shall be: 7, 5, 3, 2, and 1 for the first 5 placing in any bodyweight category. * ALL FINAL TEAM ROSTERS MUST BE RECEIVED BY 7:00 AM THE MORNING OF SATURDAY, MAY 30, 2015. * PRELIMINARY ROSTER AND TEAM FEE MUST BE POST MARKED NO LATER THAN FRIDAY, MAY 1, 2015. 4.02.2015
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