2010 POWERSTATION AM/PRO

FULL POWER MEET ONLY

                                                                                                   

DATE/LOCATION:            

FRIDAY, AUGUST 20th.  AMATEUR MEET

                                                THE SHARONVILLE CONVENTION CENTER

                                                11355 CHESTER RD,.SHARONVILLE, OH 45246

 

DIRECTOR:                         MIKE FERGUSON

513-423-9514

 

ENTRY FEE:                                    $100 PER LIFTER FOR AMATEUR

$150 PER LIFTER FOR PRO

                                                Please send checks to POWERSTATION GYM

                                                                                    Attn: Mike Ferguson

                                                                                    1821 SOUTH UNIVERSITY BLVD

                                                                                        MIDDLETOWN OH  45044

 

55 LIFTERS ONLY ON AMATEUR DAY

 SATURDAY All Pro's

 

ONE DIVISION                                SPF SANCTION

ACCREDITED JUDGES FOR IPA, IPF, WPO, AND, WPC

 

** WE WILL NOT ISSUE ANY REFUNDS FOR ANY REASON**

 

DIVISIONS

 

LIGHT DIVISION 220 DOWN TO 114      HEAVY DIVISIONS 242 TO SHW

Cash Prizes to be announced at later date.

 

WOMEN’S PRO QUANIFIER USPF MEN’S ELITE TOTAL

 

Cash Prizes will be announced again at later date.

 

QUALIFYING TOTALS ANY AND ALL FEDERATIONS ACCEPTED!

 

SHW 2500, 308=2400, 275=2300, 242=2200, 220=2100, 198=1925, 181=1810, 165=1750, 148=1650, 132=1400, 123=1300, 114=1200

NO EXCEPTIONS!!

 

WEIGH-IN 24 HR.WEIGH-IN*MEET STARTS AT 9AM * MEET IS IN LBS*

 

 

2010 POWERSTATION PRO/AM OFFICIAL ENTRY FORM

 

 

 

WEIGHT CLASS_________TOTAL___________PRO_________AM__________

 

NAME______________________________ AGE___________ BIRTHDATE________

 

STREET ADDRESS_______________________________________________________

 

CITY________________________________STATE____________ZIP______________

 

PHONE NUMBER_____________________EMAIL ADDRESS___________________

 

 

METHOD OF PAYMENT: ________CASH________CHECK _______ MONEY ORDER

 

PLEASE DO NOT EMAIL THE ENTRIES. PAYMENT MUST ACCOMPANY ENTRY FORM. MAKE CHECKS PAYABLE TO MIKE FERGUSON

 

RELEASE FROM LIABILITY:

          On behalf of myself, my heirs, executors, administrators, and assigns, I hereby irrevocably waive, release, and fully discharge the SPF, PowerStation Gym, Mike Ferguson, their respective officers, directors, employees, agents, and shareholders, of and form 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 powerlifting competition sponsored by the SPF.

          I 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 risks of powerlifting. I have read the above release, understand its meaning and consequences, and agree to be legally bound by its terms. I have signed this release freely and voluntarily. 

 

______________________________                 _____________________________

Signature (in full) of applicant/ Date        Signature (in full) of parent or guardian if applicant is under 21 years of age