Ohio State Championships

Powerlifting, Bench Press Only & Power Sports

Some of our Awards

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Date: Saturday, March 20th , 2004

Location: Northeastern High School, 1480 Bowman Rd., Springfield, OH. 937-328-6580  (Map Quest for easy directions)

Meet Director: Rich Peters, P.O. Box 735, Noble, OK.  405-527-8513  sqbpdl@aol.com

Official Weigh-In Times

Early Weigh-In: 8:00-9:00 pm, Friday (All Women and All Men)

Regular Weigh-In: 8:00-9:00 am, Saturday (All Women and All Men)

Lifting will begin at 10:00 am Saturday

Rules: All Current NASA Rules will apply.  See the NASA Rule Book on our Web Site at www.nasa-sports.com. NASA Membership Cards are required for this meet. Adult Cards $30.00 and Senior Lifters (65+ years old) & High School are $15.00 per year. All lifters MUST wear a Wrestling Suit or other one piece suit. All Canvas Equipment is Illegal.

Power Sports Lifters: Required to do Strict Curl, Bench Press and Deadlift. No Supportive Equipment is Allowed except a 4” Lifting Belt. One piece Lifting Suits MUST be worn. You may enter any event as a single lift event, i.e.-Curl, BP, Squat, DL or Full meet.

Powerlifting Lifters: May use any single ply Suits, Bench Shirts, Legal Wraps for Squat, Bench Press and Deadlift. All Canvas Shirts & Suits are Illegal as of 3-1-01.

Bench Only Lifters: May use single ply Bench Press Shirts, Legal Wrist Wraps and Belt. Canvas Shirts are Illegal.

 

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 & 181+

 

Divisions for Powerlifting, Bench Only & Power Sports (Raw)

Pure: Lifetime Anabolic Steroid Free.

Natural: Anabolic Steroid Free for minimum 3 years.

Police & Fire: Full Time Police & Fire Personnel, Lifetime Anabolic Steroid Free.

Novice: Lifetime Anabolic Steroid Free. First Meet ever entered.

Teenage: 13-19 years of age, Anabolic steroid Free for minimum of 3 years.

High School: Currently HS enrolled lifters, Anabolic Steroid Free for life.

Junior: 13-23 years of age, Lifetime Anabolic Steroid Free.

Intermediate: 24-29 years of age, Lifetime Anabolic Steroid Free.

Sub-Masters 1: 30-34 years of age, Anabolic Steroid Free for minimum 3 years.

Sub-Masters 2: 35-39 years of age, Anabolic Steroid Free for minimum 3 years.

S ub Masters Pure: 30-39 years of age, Anabolic Steroid free for life.

Masters-1: 40-49 years of age, Anabolic Steroid Free for minimum 3 years.

Masters-2: 50-59 years of age, Anabolic Steroid Free for minimum 3 years.

Masters-3: 60+ years of age, Anabolic Steroid Free for minimum 3 years.

Masters-Pure: 40+ years of age, Lifetime Anabolic Steroid Free lifters only.

 

Awards: 1st thru 5th Place Awards for each weight class in each Division for Powerlifting and Power Sports Contests. Awards will consist of 2, 3 & 4 Column Trophies, Extra Large Plaques, Large Plaques.

 

Return Entry and Entry Fee’s

Rich Peters, P.O. Box 735, Noble, OK. 73068    Or   Enter On Line by Credit Card

Entry Fee’s Powerlifting & Bench Only

Powerlifting & BP Only: $45.00 for first division entered, $30.00 for each additional entry. Late Fee after Deadline Date is $10.00 additional fee, for first division entered. Cash Only for all late entries.

“Power Sports” Entry Fee’s

Full Meet (Curl, BP & DL) = $45.00

Strict Curl Only= $45.00, Squat Only= $45.00, Bench Only=$45.00, Deadlift Only= $45.00

Combination of Any Two Single Lift Events= $75.00

Any 3 Individual Single Lift Events=$90.00      Any 3 Individual Events & Full Meet = $129.95

 

Team Entry Fee

$30.00 per Team Entry. This fee is for the Team Trophy. Team Rosters MUST be turned in by the start of lifting on Saturday. Trophies for 1st thru 3rd for Powerlifting, Bench Press Only and Power Sports Teams. Maximum of 10 members per team.

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-----------------(Official NASA Mail-In Entry Form)-------

Ohio State Championships           Late Fee Begins: 3-15-04

Name:_______________________________ Wt Class:________  Age:_____   DOB:__________

Address:_____________________________ City:__________________ St:_____  Zip:________

E-mail Address:_______________________________  Phone: (__)________________

Full Powerlifting Meet Divisions Entered: _______, _______, _______, _______

Bench Press Only (equipment allowed):_____, _____, ______, ______, ______

Power Sports (raw) Full Meet Divisions Only- _____, ______, ______, ______,

Total Amount Enclosed : $_______  Check #_______  Total Number of Divisions Entered:____

Credit Card - Visa__  Master Card__  American Express__  Discover-__

Card #-______  ______  _______  ______    Expires-_______

I realize this Competition is an Anabolic Steroid Free Meet and I may be Tested by Urinalysis

In consideration of your acceptance of this entry, I hereby waive, for myself, my heirs and assigns, any and all claims for injury or damages which I may incur by virtue of my competing in this contest as against Rich Peters, NASA Powerlifting, the facility used and any of their agents and employees. I also realize that the sport of Powerlifting is a high risk sport and that I could be injured. I certify that I am in good physical health and have no serious health problems and that I assume full responsibility for such conditions. I also realize that I am fully responsible for my well being and safety in the warm up room, on the lifting platform and while I am lifting at this event. I also certify, by my signature, that I have read this waiver and fully understand and accept it’s terms. I do hereby verify my acceptance by my signature below. Do Not Sign This Waiver Before Reading It Fully and Carefully. If you do not accept it’s terms, DO NOT sign it.

Athlete’s Signature:________________________  Date:__________

Parent’s Signature if Athlete is not 18 years of age:____________________ Date:______

 

Join NASA On-line at  www.nasa-sports.com/cardap.html

 

E-mail this Form. Late Fee Begins  March 15th, 2004

   NASA  Credit Card Entry Form

    First Name-    Last Name-

    Wt. Class-   Age-   DOB-    Phone-

   Address-  City-

   State-  Zip-        E-mail Address-

    Powerlifting Division(s) Entered-

    Bench Only, w/shirt, Division(s) Entered-

    Power Sports Division(s) Entered

                     Curl Only -   Squat Only-

                        Bench Only-    Deadlift Only-   PS Full Meet-

    Grand Total Number of Divisions Entering-

  Total Charge to this Card -$   Type of Credit Card-

    Credit Card Number  (example 1234-5678-9101-2344)

    Expiration Date of Credit Card Card - (example 06/23/03)

Comments or Questions-

Read this Waiver Completely Before Submitting - All Unsigned Entries Will Be Returned
IN CONSIDERATION OF YOUR ACCEPTANCE OF THIS ENTRY, I HEREBY WAIVE, FOR MYSELF, MY HEIRS, AND ASSIGNS, ANY AND AL L CLAIMS FOR INJURY OR DAMAGES WHICH I MAY INCUR BY VIRTUE OF MY COMPETING IN THIS MEET AS AGAINST RICH PETERS, THE HOST HOTEL, N.A.S.A., THEIR AGENTS AND EMPLOYEE'S . I ALSO REALIZE THAT THE SPORT OF POWERLIFTING IS A HIGH RISK SPORT AND I COULD BE SERIOUSLY INJURED. I ALSO REALIZE I AM RESPONSIBLE FOR MY OWN SAFTY WHILE USING THE WARM-UP AREA. I CERTIFY THAT I AM IN GOOD HEALTH AND HAVE NO SERIOUS HEALTH PROBLEMS AND ASSUME FULL RESPONSIBILITY FOR SUCH CONDITIONS. I HAVE READ AND FULLY UNDERSTAND THIS WAIVER AND ASSUME ALL RISKS FOR INJURY, AND DO HEREBY VERIFY MY ACCEPTANCE OF THIS WAIVER BY MY SIGNATURE
OR INITIALS. DO NOT SIGN BEFORE READING THIS DOCUMENT FULLY AND CAREFULLY.

I agree to the terms of this waiver and do so indicate by my submission this Credit Card Entry. I Realize that this Competition is an Anabolic Steroid Free Meet
I to the terms of this waiver (Initials)-

 

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1 Year Adult Membership - $30.00 

1 Year High School Membership - $15.00

1 Year Masters (over 65) Membership - $15.00

 

 

 

Pay securely with any major credit card through PayPal!
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