Ohio State Championships
Powerlifting, Bench Press Only & Power Sports
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Some of our Awards
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since 12-18-03
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)
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.
114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 308 & SHW
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
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.
Rich
Peters, P.O. Box 735, Noble, OK. 73068
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.
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
$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
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 : $_______ Check
#_______ Total Number of Divisions
Entered:____
Credit Card
- Visa__ Master Card__
American Express__ Discover-__
Card
#-______
______
_______
______
Expires-_______
I
realize this Competition is an Anabolic Steroid Free Meet and I may be Tested by
Urinalysis
In
consideration of your acceptance of this entry, I hereby waive, for myself, my
heirs and assigns, any and all claims for injury or damages which I may incur by
virtue of my competing in this contest as against Rich Peters, NASA
Powerlifting, the facility used and any of their agents and employees. I also
realize that the sport of Powerlifting is a high risk sport and that I could be
injured. I certify that I am in good physical health and have no serious health
problems and that I assume full responsibility for such conditions. I also
realize that I am fully responsible for my well being and safety in the warm up
room, on the lifting platform and while I am lifting at this event. I also
certify, by my signature, that I have read this waiver and fully understand and
accept it’s terms. I do hereby verify my acceptance by my signature below. Do
Not Sign This Waiver Before Reading It Fully and Carefully. If you do not accept
it’s terms, DO NOT sign it.
Athlete’s
Signature:________________________ Date:__________
Parent’s Signature if Athlete is not 18 years of age:____________________ Date:______
Join
NASA On-line at www.nasa-sports.com/cardap.html
E-mail
this Form. Late Fee Begins March
15th, 2004
First Name- Last
Name-
Wt. Class- Address-
City-
State-
Zip-
Curl
Only -
Squat Only-
Bench Only-
Deadlift Only-
PS Full Meet-
Grand Total Number of Divisions Entering-
Total Charge to this Card -$
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 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 Order Your NASA
Card On Line NOW using PayPal 1 Year Adult Membership - $30.00 1 Year High School Membership - $15.00 1 Year Masters (over 65) Membership - $15.00
NASA
Credit
Card
Entry Form
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 to the terms of this waiver (Initials)-
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securely with any major credit card through PayPal!
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