Date: Saturday March 21, 2015 Event: ABBRx Natural and Fit Day Expo, Natural and FIT 5k Run/Walk, USA Powerlifting Meet and DFAC Michigan ROAR Natural Bodybuilding/Figure/Physique/Athletic Pro-Am Location: Bullock Creek High School 1420 S Badour Midland, MI 48640 Hotel Accommodations: Residence Inn by Marriott, Midland MI Reduced Room Rates ($125.00/night and includes Kitchenette and Breakfast) Entry Fee: $60 for open division (EVERYONE IS AUTOMATICALLY IN THE OPEN) $15 for additional division (Teens Only) Please make checks/money orders out to: ABBRx Meet Director: Kristin Berard at [email protected] or Steve Harrington: [email protected] Entry Dead Line: March 13, 2015 ($25 late fee applies after this date) NO EXECPTIONS! NO ENTRIES ACCEPTED AFTER March 20! A minimum of 10% Drug Testing via Urinalysis Rules & Eligibility: This meet is sanctioned by USAPL. All lifters must be registered with USA Powerlifting. Membership cards will be available at the meet (Adults $50, teens $35). All athletes will comply with USAPL rules for equipment and lifting on the platform. Important Times: Equipment check and Weigh-In: Rules Meeting: Lifting begins: 7:30-9:00AM 9:30AM 10:00AM Divisions & Awards: All entries will be in Open Divisions! Additional entries will be for age specific categories! If you only enter Open and you set a record in an age specific division it will still count as a state record. Men’s: (Junior & Junior Only up to 53kg, and up to 59kg, 66kg, 74kg, 83kg, 93kg, 105kg, 120kg, 120+kg) Raw Open: 1st - 3rd (each weight class) ages: ALL! Women’s: (Junior & Junior Only up to 43kg, and up to 47kg, 52kg, 57kg, 63kg, 72kg, 84kg, 84+kg) Same as above for men Best Lifter Awards: Mens: Totals Womens: Totals Full Meet Open, Full Meet Teen, Full Meet Team Full Meet Open, Full Meet Teen, Full Meet Team ENTRY FORM ADDRESS: ABBRx Natural and Fit USAPL Meet (make checks to ABBRx) 4710 Eastman Ave Midland, MI 48640 (989)-341-1070 Entry Form (Please Print or Type) Name: __________________________________ Age: ______ Female Sex: Male Address: ________________________________________________________________ Street City Phone: __________________ State Zip code E-mail: ___________________________________ School/Gym Representing:____________________ Team: _________________________ Weight Class: _______ USAPL #: _______ (memberships available at meet) ***USAPL Memberships should be purchased prior to the event at www.usapowerlifting.com to speed up check in and to receive a DISCOUNT. CASH ONLY will be accepted for memberships purchased the day of check in*** Check Division(s) Entered: Teen: 14-15( ) Teen:16-17( ) Teen:18-19( ) Junior: 20-23 ( ) Open: All Ages ( ) Check Event Entered: ______Raw (Only) ADD $5.00 to Entry Fee for T-Shirt(Circle): S M L XL XXL 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 blank 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 results 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. That 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 test. I further agree to submit to any physical tests, which may be necessary to complete the drug testing. Should I fail to pass the drug test, I agree to forfeit any trophy or award, which I might otherwise have won. I understand and agree that if I fail to pass a drug test, 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 incurred by any person, real or cooperate, 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 the acceptance of my entry into 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 full force and effect. I also certify with my signature that this Release/agreement cannot be modified orally. ____________________________________ Signature in full of Applicant under the age of 18 years ____________________________________ Signature in full of parent or guardian if applicant is I herby give my word of honor as an athlete that I have not used any strength-inducing drugs (i.e., any anabolic steroid, natural hormone or synthetic growth hormone) as part of my training during the past thirty-six (36) months, nor have I used prescription diuretics or psychomotor stimulants during the seven (7) days prior to this meet. ____________________________________ (Signature in full of the applicant)
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