2014 NORTH TEXAS FITNESS “EXPO” ISA/ISAA “TWO MEETS” December 6, 2014 *RAW & RAW PLUS - WORLD CHAMPIONSHIPS *NATIONAL - POWERLIFTING CHAMPIONSHIPS MEET DIRECTOR: Robert & Melshell Morris [email protected]; 817.210.9111 0r 817-663-5432 SANCTIONED BY: International Strength Association EVENT LOCATION: Arlington Convention Center, 1200 Ballpark Way | Arlington, TX 76011 Ph- 817.459.5000 Map Link http://www.arlingtontx.gov/acc/index.html ELIGIBILITY: Lifters must be an ISA and/or ISAA registered athlete by the time of the meet. You can renew or get your new membership at weigh-ins ONLY! Memberships are $25 for high school students, $30-for everyone else. WEIGH-IN: Friday, December 5, 2014: 11:00 a.m. – 2:00 p.m. and 4:00 p.m. – 8:00 p.m. 1200 Ballpark Way Arlington TX 76011-In the Arlington Convention Hall Arlington Convention Center in Arlington TX – check in at the lobby to get wrist band ISA/ ISAA table. EVENT: MANDATORY RULES BRIEFING: Saturday, December 6, 2014, at 8:00 a.m. NOTE- Lifting starts Saturday, December 6, 2014, at 9:00 a.m. UNIFORM: One piece lifting suit or wrestling suit is MANDATORY. ISAA LIFTERS: 10% of ISAA lifters will be drug tested at the meet. All tests will be paid for and provided by the meet director. ENTRY FEE: Entry fee is $75 if received on or prior to the DEADLINE, December 6, 2014. If received after December 5, 2014, there’s an addition $25 late fee. Additional divisions are $50 each. Walkups are welcome as long as we have not reached the lifter limit. Entry fees are non refundable. Cash , certified check or money order only, please. Certified checks and money orders are to be made out to ROBERT MORRIS. Mail entry forms and fees to: ROBERT MORRIS - ISA/ISAA POWERLIFTING - PO BOX 173264 - Arlington TX 76003 PLEASE NOTE: LIMITED TO THE FIRST 100 LIFTERS WITH COMPLETED ENTRY FORMS 1-2 2014 NORTH TEXAS FITNESS “EXPO” ISA/ISAA “TWO MEETS” December 6, 2014 *RAW & RAW PLUS - WORLD CHAMPIONSHIPS *NATIONAL - POWERLIFTING CHAMPIONSHIPS Full name: Please Print Legibly ______________________________________ Sex (circle one): Male or Female Age _______ DOB _____ e- mail_______________________________ Address _________________________________________________________ City________________________________ State ___________________ Zip Code ___________________________ Phone Number _________________________________ Alternate Phone Number __________________________________ Current ISA/ISAA card (circle one): No or Yes If so, card number is ______________________________________________ Gym or Team name:__________________________________ T-Shirt Size: _____________________________ (Parent must sign if Lifter is under 18 years of age) ISA/ISAA (circle all that apply): ISA ISAA (drug tested) Event Entered (circle all that apply): Full Meet Bench Only Raw / Raw Plus /Equipped (circle one): Raw Division Entered (circle all that apply): Weight Class (circle one): Deadlift Only Raw Plus Equipped Open Teen: 13-15 Junior: 20-23 Sub master: 33-39 Master: Women: 97 Men: 114 105 123 Fees & Payment (non refundable): CASH, CERTIFIED CHECKS OR MONEY ORDERS ONLY, PLEASE No personal checks please. 114 132 16-17 18-19 40-44 45-49 50-54 75-79 80+ 123 148 132 165 55-59 60-64 148 165 181 198 181 198 220 242 65-69 70-74 198+ 275 308 308+ Entry fee $75: __________ If after Dec 5, 2014, add late fee $25: __________ Additional divisions $50 each: __________ Make checks or money orders out to: TOTAL DUE: __________ Return Entry Form to: ROBERT MORRIS - ISA/ISAA POWERLIFTING - PO BOX 173264 - Arlington TX 76003 ATHLETIC RELEASE: On behalf of myself, my heirs, executors, administrators and assigns, I hereby waive, release and fully discharge any and all officials, sponsors, participants or organizations connected to the North Texas Fitness Expo, the ISA/ISAA Powerlifting, The 2014 ISA/ISAA Powerlifting & World Championships, the Arlington Convention Center, Texas Strength Systems, their respective officials, directors, employees, agents and shareholders, of and from any and all rights, claims, demands, lawsuits and causes of action due to or arising from any accident, injury, damage or loss directly, indirectly, or in any way associated with my participation in The 2014 ISA/ISAA Powerlifting & World Championships Arlington Expo, Dec 6, 2014. I, also, represent that I know of no medical reason or condition that would impair my ability to participate in this event, and I hereby assume any and all risk of accidental, medical injury or consequential damages resulting from my participation. I acknowledge, understand and accept the inherent risk of powerlifting. I have read the above release, understand its meaning and consequence, and agree to be legally bound by its terms. I have signed this release freely and voluntarily. ___________________________________________ ____________________________________________ Print Lifter’s Full Name 2-2 Lifter’s signature
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