You're Invited to the 5th Annual Bull Stewart Columbia City Classic

You're Invited to the
5th Annual Bull Stewart
Columbia City Classic
Saturday, October 25, 2014
Southeast Seattle
Senior Center
Rainier Avenue & South Holly Street
USAPL Sanction
No. WA-2014-07
We are proud to announce that we have found a new home for our meet and created two new
partnerships: with the Southeast Seattle Senior Center (http://www.sessc.org) and with the
Georgetown Inn (www.georgetowninnseattle.com). For those who have attended the
Columbia City Classic in the past, we will debut some new and exciting features at our 2014
event, and we think that first-time participants are going to discover a new experience in
powerlifting competitions. We hope you will consider joining us in October in South Seattle!
Entry Information
This meet will be limited to the first 60 paid applications submitted
Your are encouraged to use the online entry form – the link will be available:
on the Northwest USAPL web site: www.nwusapl.com
on the Washington USAPL Facebook page or
by email to [email protected]
You can pay by PayPal online or complete the paper forms in this packet and mail with a
check or money order to the address on the entry form
Entry deadline is October 11, 2014.
$25 late fee up to October 15th and late entries only accepted online
No entries (and no refunds if you have to withdraw) after October 15th
Meet Directors:
Bull Stewart 206.725.7894 [email protected]
juana mangaoang 206.714.6124 [email protected]
Weigh-Ins at the Lifting Venue on Saturday October 25, 2014 :
For those lifting in the Morning Session: 7:00 to 8:30 a.m.
For those lifting in the Afternoon Session: Noon to 1:30 p.m. (subject to change)
Tentative Lifting Schedule: The final schedule will be determined by the number of entries in
each age division, weight class and event. The final schedule will be available to all competitors
one week before the meet. All lifting times are approximate AND SUBJECT TO CHANGE..
MORNING SESSION -9:00AM
All Women and Lightweight Men (114-165) and all Youth and Teens
AFTERNOON SESSION -2:00PM
All Men 181 to Super Heavyweight
Meet Location: The Southeast Seattle Senior Center is located at 4655 South Holly Street in Southeast
Seattle (at the corner of Rainier Avenue and South Holly Street).
FROM I-5
From the North:
Take Exit 161 for Albro Place / Swift Avenue. Turn left at end of ramp onto South Albro Place. Turn right
at next corner onto Swift Avenue South. At next light, turn left onto South Graham Street. Go 1.5 miles to
Rainier Ave and turn right. Take the second right (0.3 miles) onto South Holly Street.
From the South:
Take Exit 161 for Swift Avenue / Albro Place. At end of ramp, turn left onto Swift Avenue South. At next
light, turn right onto South Graham Street. Go 1.5 miles to Rainier Ave and turn right. Take the second
right (0.3 miles) onto South Holly Street.
FROM I-90
From the East:
Take Exit 3A for Rainier Avenue South and merge onto Rainier Avenue South. Go about 3.8 miles and
turn right at South Holly Street.
From the West:
Take Exit 3 for Rainier Avenue South. Turn right onto Rainier Avenue South. Go about 3.8 miles and turn
right at South Holly Street.
Parking is available directly behind the Cheap Chickadee Thrift Store and in the parking garage
under the Center, which has direct access to the elevator.
RECEIVED 2014 Columbia City Classic
Date:_____________ Amt Paid:_________ Entry Form
Name:
Address:
City:
State:
Zip Code:
E-Mail Address (required):
Phone:
Age:
USAPL Number:
Date of Birth:
[ ] Male
[ ] Female
Team name:
Competing As (check one or more divisions):
Youth/Teen: [ ] 10-11 [ ] 12-13, [ ] 14-15, [ ] 16-17, [ ] 18-19
[ ] Junior (age 20-23)
[ ] OPEN (you must compete in the open division if you are 24-39 years old)
Masters: [ ] 40-44, [ ] 45-49, [ ] 50-54, [ ] 55-59, [ ] 60-64, [ ] 65-69, [ ] 70-74, [ ] 75-79, [ ] 80+
I am lifting: [ ] Lifting Raw [ ] With Support Gear
I expect to weigh _________________ pounds on the meet date / Anticipated Weight Class (if known):
I want to compete in the following events (check all that apply):
[ ] Full Powerlifting [ ] Bench Press Only [ ] Deadlift Only
Are you: [ ] Police and Fire
Entry Fee:
[ ] Military
[ ] Special Olympics
Powerlifting (Squat + Bench + Deadlift for a single total score) $75
Bench Only = $70 Deadlift Only = $70 Bench+Deadlift = $120
Powerlifting + Bench OR Deadlift = $120 Powerlifting + Bench + Deadlift = $140
Add an Extra Division for PL, Bench or Deadlift = $160
(for any other combinations, please use the online entry form)
Each lifter will receive a free meet t-shirt. Additional shirts can be pre-ordered for $15 or buy them at the meet for $20.
Please indicate the size of your shirt below, and any additional shirts you want to purchase.
S
M
L
XL
2XL
Amount Enclosed (Entry fee + extra shirts): $
Make Checks Payable to: "BullR"
Mail to: BullR, c/o CCF, 4860 Rainier Ave South - Suite B, Seattle, WA, 98118
1st: wt class__________ age__________ event__________ 2nd: wt class__________ age__________ event__________ 3XL
RELEASE FROM LIABILITY
Important: Read this release 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, executors, and my administrators. In signing this release from liability I waive and release
everyone connected with this competition which includes the meet directors, BullR, LLC, the Southeast Seattle Senior
Center, and sponsors of the meet, meet staff and USA Powerlifting from any and all liability 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. That is, whether I think the results of the tests 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 tests, 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. If it is determined that I have failed the drug test, I understand and agree to waive any claim for
which legal relief is available and my name will appear on a published list of suspended members.
I agree to pay any attorney fees and litigation expenses incurred by any persons, real or corporate, 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 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 full force and effect. I also certify with signature that this release/agreement cannot be modified orally.
Print Name:
Signature:
Date ____/____/_______
Signature of parent or guardian if the applicant is under 21 years of age.
Signature:
Date ____/____/_______
CERTIFICATION
I hereby give my word of honor as an athlete that I have not used any strength inducing drugs ( i.e. 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 days prior to this contest. I further understand that
certain over-the-counter and readily available nutritional supplements may cause a drug test failure and that I, as an athlete,
am ultimately responsible for what I take or ingest.
Print Name
Signature:
Date ____/____/_______
Signature of parent or guardian if the applicant is under 21 years of age.
Signature:
Date ____/____/_______
Our Official Meet Hotel – The Georgetown Inn
www.georgetowninnseattle.com
The Georgetown Inn is conveniently located near the I-5 Corson/Michigan Street Exit
(only 2.6 miles from the meet location) in Seattle's fascinating Georgetown neighborhood.
"We focus on keeping things simple. This means is that we provide you with the
essentials, not the extras, and pass the savings on to you. We prefer to keep our services
strictly to insuring you get a good night’s sleep at a great price."
Guests of The Georgetown Inn enjoy:
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Free Parking
High speed internet
Continental breakfast
Stumptown Coffee in lobby 24/7
Choice Organic Tea in lobby 24/7
The neighborhood is home to more than 30 eateries, saloons, and pubs, serving everything from sushi to BBQ to
authentic Hawaiian family lunches. Many of these are within walking distance of The Georgetown Inn.
Rates are $99 per night and we offer 10% discounts for AAA and AARP members.
For reservations please call 206.762.2233 and mention Bull Stewart's Columbia City Classic Powerlifting
Competition. You can also book through our website: www.georgetowninnseattle.com
We look forward to serving you in October!
GEORGETOWN INN
6100 Corson Avenue South
Seattle WA 98108
t:206.762.2233
f:206.763.6708
"The pillows were so fluffy I could barely get my suitcase closed." ~ Yogi Berra