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)