American
Powerlifting Federation
SUMMER
BASH POWERLIFTING CHAMPIONSHIPS
powerlifting, bench press
& deadlift
Saturday, May 12, 2007
-
Lifting starts at 11AM,
Weigh-ins: 9:00AM-10:00AM or Friday 5:30PM-7PM
Place: Sam Houston High School, 9400 Irvington
Blvd., Houston, Texas 77076
Information: Tom McCullough - 713-907-8129 - email:
tom_mccullough@texaspowerscene.com
Entry Deadline: Entries must be postmarked no
late
than April 28,
2007.
Late entries may or may not receive a trophy meet day and a $25
shipping fee
will be added in order to get the trophy to you.
Entries are non-refundable
PLEASE
REGISTER EARLY! IT SAVES YOU MONEY AND
HELPS US PLAN AND
ORGANIZE AHEAD
Absolutely NO personal checks accepted
Men's Weight Classes: 114, 123, 132,
148, 165, 181, 198,
220, 242,
275,
308, SHW
Women's Weight Classes: 97, 105, 114, 123, 132, 148, 165, 181, 198, UNL
Powerlifting
Meet: $50
$40 extra divisions
|
Bench Press Meet: $50
$40
extra divisions
|
Deadlift Meet: $50
$40
extra divisions
|
Open
|
Open |
Open |
Teenage
|
Teenage
|
Teenage
|
Junior 20-23
|
Junior 20-23
|
Junior 20-23
|
Submaster 33-39
|
Submaster 33-39
|
Submaster 33-39
|
Master 40+
|
Master 40+
|
Master 40+
|
Sanction: This
event is sanctioned by the APF.
Membership is mandatory and membership cards may be purchased at the
meet. $30 yr for adults & $15 yr for teenagers.
MAIL ALL ENTRY FORMS AND MONEY
ORDERS PAYABLE TO:
Tom McCullough
16003 Sandy Path Lane
Houston,
Texas 77084
Official Entry Form APF Summer Bash Powerlifting
Championships
Last
Name:_______________________________________First
Name:__________________________________MI:________________
Address
__________________________________________________________
e-mail ________________________________________
City
___________________________________________________State
___________________ Zip Code________________________
Home Phone
_______________________________________Work Phone
____________________________________ Age__________
Occupation
_________________________________ Sponsor(s)
_____________________________________ Date of Birth__________
Event
Entered: Full Power Meet____ Bench Meet ___ Deadlift Meet___
Division Entered: Mens Open ___
Womens Open ___ Mens Jr./Teen ___ Mens Masters ___
Wt Class: 114 _ 132 _ 148 _ 165
_ 181 _ 198 _ 220 _ 242 _ 275 _
308 _SHW _
APF# _________ Exp. Date
__________
Full Power Meet entry fee $50
_$___________
Bench Meet entry fee $50
_$___________
Deadlift Meet entry fee $50
_$___________
Add $40 each add'l
division _$___________
TOTAL
DUE _$___________
LIABILITY
WAIVER
By
virtue of the acceptance of this entry I hereby waive and forever
release all
claim for injury, damages or personal loss which the above lifter might
suffer at the APF Summer
Bash Powerlifting Championships. I
forever
release Sam
Houston High School,
Houston ISD, the American Powerlifting Federation, and
employees,
representatives, meet directors and officials, and volunteer workers of
the
American Powerlifting Federation , Sam Houston
High School, and Houston ISD
from any claim of damages for injury, damage, or personal loss. I understand that powerlifting can be a
dangerous sport and injuries can do result in sports. My signature
below
indicates
that I have read and understand this document.
Signature
of Lifter or Parent / Legal
Gaurdian__________________________________________________________________Date_________________________________
