2015 UPA/UPA-AD Detroit Barbell In-House Classic Raw, Equipped & CrossFit Saturday, January 17, 2015 Arnold Qualifier Meet Director: JJ Thomas-734-642-7877 or [email protected] or on Facebook.com under 2014 UPA/UPA-AD DBB In-House Classic Events: Equipped & Raw: Full Power, Ironman, and Squat, Bench & DL only. CrossFit(Raw Rules apply) Place: Detroit Barbell. 17608 Telegraph. Brownstown, MI 48174 Lifting Session: Saturday, January 17th, 2015 @ 10:00am. Updates will be posted on Facebook.com, under 2014 UPA/UPA-AD DBB InHouse Classic Sanction/Rules: Sanctioned by the United Powerlifting Association (UPA) Check www.UPAPower.com for information and rulebook. UPA-AD is a drug tested division. We will be drug testing this division One piece lifting suit required. Equipment: Raw or Equipped. Knee wraps, belts and wrist wraps are allowed in the Raw division. Equipped, please check the UPA Rule Book. Weigh-ins: 45 spots available ONLY! 30 Full Power spots. 15 Bench Only/Ironman/DL Only Friday, January 16: 10am-11:30am @ Detroit Barbell(17608 Telegraph. Brownstown, MI 48174 & 6pm-7pm @ Detroit Barbell Saturday, January 17 weigh in: 8:30am-9:00am @ DBB You MUST be weighed in by 60 minutes before the meet or you CANNOT lift, NO EXCEPTIONS! Eligibility: Open to all UPA members. Registration is $30 per card. Include your registration money with this entry form if you need to become a member--application to be filled out at the weigh-ins. Current members must present their cards at weigh-ins or they will have to buy another one. Entry Fee: $65, $55 for Teen Division $40 for each additional division. Meet Shirts are included with entry fee for FREE, S-4XL, please mark your size Entry fee MUST accompany entry form when mailed. NO REFUNDS. Deadline: The entry deadline is December 31, 2014. $30 late fee will be assessed if entry is postmarked after the above date. Records: Lifters will also be eligible to break UPA & UPA-AD National Records. Lifters will also establish/break all UPA State Records for the division they lift in. Awards: Best Lifter awards for: Men’s Full Power, Women’s Full Power, Men’s Bench Only, Women’s Bench Only Medals will be given to 1st-2nd place in all Men’s and Women’s classes, no age divisions, just weight classes for awards. See above Cash awards for Best Lifters Best Lifters are based on Schwartz formula only! Spectator Fee: $10; Children 12 and under are free. Food & Drinks will be provided to the lifters free of cost. This meet will sell out and it is first come, first serve 45 spots only! Mail this page along with your entry fee to the following address: Detroit Barbell. 17608 Telegraph. Brownstown, MI 48174 Make Checks Payable to: Detroit Barbell In consideration of the acceptance of this entry thereby for myself, my heirs, executors, and administrators waive and release any and all claims and damages I may have against the U.P.A., Jeremy Thomas, Harlan Brandenburg, Detroit Barbell, their representatives, successors, and assigns for any and all injuries or bodily harm that I may suffer while competing at the 2014 UPA/UPA-AD Detroit Barbell In-House Classic. I attest and verify that I have full knowledge of the risks involved with my participation in this event, and that to the best of my knowledge I am physically fit and able to participate in this event. Signature: _____________________________________________________ Date: _______________ Parent/Guardian (if under 18): _____________________________________ Date: ________________ Print Name: ________________________________________________________________________ Address: ________________________City: _________________ State: _______ Zip Code: _______ Phone: (_______)____________________ Email: __________________________________________ Date of Birth: _________________________ Age : _____________ Gender: ____________________ Circle Event: Full Power Bench Only Ironman CrossFit Squat Only Deadlift Only Circle division below: Raw Equipped UPA UPA-AD Circle Weight Class: Men: 114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 308, SHW UPA Membership: _______ Entry Fee: Women: 97, 105, 114, 123, 132, 148, 165, 181, 198, SHW _$_____ Official Meet T-shirt’s Circle Division(s) Entered: A $50 fee for each additional sanction/division. Sanction: UPA & UPA-AD Division: Teen 13-15, 16-17, 18-19, Junior 20-23, Open, Submaster, Master 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80-84, 8589 etc... Size: _______ Late Fee: after 12/31 __$30__ Total: _______
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