Mail entry form and make payment to:WNPF

POBOX 142347, Fayetteville, GA 30214

Bank checks, cash and money orders only. No personal checks accepted.

Georgia Powerlifting Championships

ENTRIES MUST BE POSTMARKED BY November 21, 2009

In consideration of your accepting this entry, I hereby for myself and my heirs, release any & all rights/claims for damages for injuries I may have against the contest facility in use, World Natural Powerlifting Federation, Troy Ford, Ron Deamcis, all other meet directors & staff, and any & all other participating sponsors, supporters, referees, and spotter/loaders as a result of my traveling to, and/or from and/or participating in, the above listed competition. I make this release and waiver of claim with full knowledge of the hazards and inherent rights associated with the above listed competition. I hereby assume the risk of injury and property damage/loss. Also, in consideration of your accepting this entry I hereby sign over my rights to be videotaped and/or photographed to the meet directors and/or his designee. I am fully aware that I will receive no royalties and/or compensation for resale/use of the videotapes and/or photographs. I also realize that if I do not attend this event for any reason I will forfeit all fees and cannot transfer them to another event.

RELEASE FROM LIABILITY AND CONSENT TO DRUG TEST

IMPORTANT: READ THIS RELEASE CAREFULLY. WHEN YOU SIGN IT YOU WILL BE GIVING UP IMPORTANT LEGAL RIGHTS.

In consideration of the acceptance of my entry in this Powerlifting competition I intend to be legally bound, for not only myself but also for my heirs, my executors, and my administrators. In signing this release from liability I waive and release everyone connected with the competition from any and all liability, including any results of negligence which may arise from this competition.Moreover I agree that any testing method which the meet director and the sponsors of this meet use to detect the presence of strength-inducing drugs SHALL BE CONCLUSIVE. That is, whether I think results of the tests are right or wrong I agree that I have no right to challenge the results of the drug tests. I further agree to submit to any physical tests which may be necessary to complete drug testing. Should I fail to pass drug tests, I agree to forfeit any trophy or award which I otherwise have won. I understand and agree that if I fail to pass the drug tests, my name will appear on a published list of suspended members. If it is determined that I have failed the drug test, I agree to waive any claim for which legal relief is available. I agree to pay any attorney fee and litigation expenses incurred by any person, real or corporate, whom I may sue in an effort to challenge this Release from Liability form. I understand that my agreement to pay attorney fees and litigation expenses is the Sine Qua Non for the acceptance of my entry in this contest. If any provision of this release form liability shall be deemed by a court of competent jurisdiction to be invalid, the remainder of this Release of Liability shall remain in full force and effect. I also certify with my signature that this release/agreement cannot be modified orally. Certification: I hereby give my word of honor as an athlete that I have not used any strength inducing drugs (i.e. any anabolic steroid, natural hormone or synthetic growth hormone) as part of my training during the past thirty six months, nor have I used prescription diuretics or psychomotor stimulants during the seven days prior to this meet.

_______________________________________ _____________________________________

Signature in full of applicant Signature in full of parent or guardian if lifter is under 18

First Name _____________________________Last Name_______________________________________

Address_______________________________________________ City______________________

State_________ Zip code_______________ Age _________ Date of Birth ______________________

Tel # _______________________________ Email_____________________________________

WNPF Card # ________ WNPF LIFETIME Card # ___________ Male ___ Female ___

If your card has expired you can renew your card at the meet or in advance…..

Estimated openers- SQ ________ BP _________ DL ___________ PC ___________

These can be changed during weigh-ins.

Check your divisions below

o FULL POWER o Youth o Teen o Junior o Open o Subs o Masters o Novice

o BENCH ONLY o Youth o Teen o Junior o Open o Subs o Masters o Novice

o DEADLIFT ONLY o Youth o Teen o Junior o Open o Subs o Masters o Novice

o REPS o Teen o Junior o Open o Subs o Masters

o POWERCURL o Youth o Teen o Open o Masters

I am lifting RAW__ Single ply___ Unlimited___ (Please check one)

$_______ $80 Entry Fee

$_______ $50 Each Additional Division

$_______ $10.00 in advance Meet T-Shirt S - 3XL Size(s) Requested _________

$_______ $20, $30, $40 Membership fee

$_______ Total Enclosed

ALL FEES ARE NON REFUNDABLE AND NON TRANSFERABLE

WHERE THE REAL DRUG FREE POWERLIFTERS COMPETE

17^th WNPF/WNPF Lifetime Georgia Powerlifting Championships

Atlanta,GA.

WHERE

Clarion Hotel Main Ballroom, 5010 Old National Highway, Atlanta, Georgia

Take I-85 north or south to exit 69 (Old National Highway), turn left off the southbound Exit, turn right off the northbound exit. From I-285 take exit 62 (Old National Highway). The hotel can be seen from the highway.

WHEN

December 12, 2009

Weigh-ins 5-6pm on Friday, Dec. 11^th and/or Saturday 8-9am, Dec. 12^th.Rules clinic- 9am on Saturday and a start time of 9:45am.

HOTEL

Clarion Hotel 404 768-9199. Room rates are $79 per night if you mention WNPF

RECORDS

WNPF state records can be set at this event.

AWARDS

1st to 5th place in each weight class and division. 1st thru 3rd Team. Best lifter awards to any event that has 10 lifters or more.

WEIGHT CLASSES

Men 100 114 123 132 148 165 181 198 220 242 275, UNL

Women 97 105 114 123 132 148 165 181 UNL

Divisions include- Youth 9-10 & 11-12, Teen 13-16 & 17-19 Junior 20-23, Open, Subs 35-39, Masters in 10 year increments and Novice.

WEBSITE

http://www.wnpf.net

Email- wnpf@aol.com

SPECTATOR ADMISSION

$7.00 at the door. Lifters please tell your cheering sections, coaches, spotters, friends, family members that there is a charge to see the show.

ENTRY FEE

New Lower entry fee- $80 per entry and $50 for each additional divisions.

(NO REFUNDS or EXCHANGES)

ENTRIES MUST BE SENT POSTMARKED

November 21, 2009

If you entry is not sent out by the deadline date or your fees are not sent in with your form or your just a late entry you will be charged a $30 late fee at the show. No exceptions! If you want to lift and you are late you must call to place your name on the meet roster. If you do not call you will not be allowed to lift. Cash only if you sign up on meet day.

MEMBERSHIP FEE

All lifters must be a member of the WNPF/WNPF Lifetime to compete. Cards can be purchased in advance or at the meet. Cash only on meet day. Card fees are $20- High School, $30- Seniors (65+) and College Students (19-23) and all others $40

Some event information

The rep contest consist of the men doing their bodyweight and the women doing half their bodyweight for reps. Powerlifting is for full meet lifters doing the squat, bench & deadlift for a total. Lifters can also lift in an event that they specialize in such as bench only. You do not have to compete in all three events.