2009 SARGE MCCRAY/21st Lifetime National Championships Entry Form

DEADLINE NOVEMBER 14, 2009 POSTMARK otherwise a $30 late fee will apply

 

Name ________________________________________   Nick Name_________________

 

Address___________________________________________________________

 

City ____________________________________ State ______ Zip __________

 

Age on meet day _____ date of birth _________       Sex- m__f__        Wt.class entering __________

 

E-mail __________________________________ Telephone # (_______)___________________________

 

Are you a 2009 WNPF member yes__ no__          Card expiration date ________?

 

Are you a 2009 WNPF LIFETIME Org. Member                 yes__ no__              Card expiration date ________?

 

I am lifting in the Lifetime Nationals__ I am lifting in the Sarge McCray Championships__ or both __

 

Estimated opening attempts- SQ_____          BP_____               DL_____               Curl____

*********************************************

Pre pay for shirts- $12.00 each

I would like ________ total number of shirts. Otherwise shirts are $15.00 at the event……

Circle sizes-          s              m             L             xL           xxL         xxxL      xxxxL

 

POWERLIFTING

Youth __ Teen__ Junior__ Open __ Subs__ Masters__ Novice__ Raw__ Single ply__

Multi ply__   (The WNPF LIFETIME league does not offer a multi ply division)

 

BENCH PRESS

Youth __ Teen__ Junior__ Open __ Subs__ Masters__ Novice__ Raw__ Single ply__

Multi ply__           (The WNPF LIFETIME league does not offer a multi ply division)

 

REPS

Teen__ Junior__ Open __ Subs__ Masters__

 

DEADLIFT

Youth __ Teen__ Junior__ Open __ Subs__ Masters__ Novice__ Raw__ Equipped__

 

CURL

Youth__ Teen__ Open__ Masters__

 

SQUAT

Youth __ Teen__ Junior__ Open__ Subs__ Masters__ Raw__ S.Ply___ Multi-ply__

(The WNPF LIFETIME league does not offer a multi ply division)

Read Carefully.  When you sign it you will be giving up important legal rights.  In consideration of the acceptance of my entry blank on 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 this competition from any and all liability, including any result of negligence, which may arise from these 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 the 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 that might be necessary to complete the drug testing.  Should I fail to pass the drug tests, I agree to forfeit any trophy or award, which I might otherwise have won.  If it is determined that I have failed the drug test, I agree to waive any claim for which legal relief is available. I will also forfeit all fees paid to compete in this meet if I fail the drug exam or don’t attend this meet for any reason. I agree to pay any attorney fee and litigation expenses incurred by any person, real or corporate, which 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 some qua non-for the acceptance of my entry in this contest. If any provision of the release from liability shall be deemed by a court of competent jurisdiction to be invalid, the remainder of this release from liability shall remain in full force and effect.  I also certify with my signature that this release/agreement cannot be modified orally.

 

Signature_________________________________________________________________

Send your entries to WNPF, POBOX 142347,

Fayetteville,GA. 30214.

No personal checks, they will be sent back. Bank checks/money orders only!!!

All entry fees are non-refundable and non-transferable

 

 

12th WNPF SARGE MCCRAY MEMORIAL POWERLIFTING

CHAMPIONSHIPS/ 21st LIFETIME NATIONALS

Saturday, DECEMBER 5, 2009 (2010 NATIONAL QUALIFIER)

Meet location: RAMADA HOTEL, 1083 RT. 206 N. BORDENTOWN, NJ. EXIT 7 OFF THE N.J. TURNPIKE, Follow 206 North after the toll and the Ramada is on the right

 

Hotel info: Please call 609 298-3200 AND MENTION THE WNPF OR POWERLIFTING ROOM BLOCK FOR $79.00 PER NIGHT. 1 Hour away from the Atlantic City Casinos……..

Weigh-ins: The night before from 5-6 pm and/or the day of from 8-9am.

Mandatory rules briefing both days: 9 am, Start time: 9:45 am

 

Awards:1ST TO 5TH PLACE IN ALL DIVISIONS.

Team Awards and best lifter awards will be awarded. Best lifter awards will be awarded to

any event with 5 women or more or with 10 men or more.

Records: State records can be set in the Sarge McCray meet. State and National records can be set in the Lifetime Nationals.

 

Wt.classes: Women- 97,105,114,123,132,148,165,181 & SHW.

Men- 100,114,123,132,148,165,181,198,220,242,275 & SHW

Divisions: Youth 9-10, 11-12, Teen 13-16, 17-19, Junior 20-23, Open, Subs 35-39, Novice and Masters in 10 year increments. The powercurl will be the first event of the day. The Novice division will not be offered in the Lifetime Nationals.

 

Adult Entry fee: $90 for the first division or event and $50 for any additional division or event.

Deadline: NOVEMBER 14, 2009 Postmark. (No personal checks. Money orders or bank checks only.)

Team fee: $90 in advance with a TEAM roster.

Optional Youth/High school/Senior/College fee: $65 for one division, $40 for any additional. Smaller awards will be awarded if paying this optional fee

Late fee: All lifters that are late will pay a $30 late charge if your entry fee is not postmark by the due date (11/14/2009 Postmark), not sent in with your entry form by the due date or if you walk in to the contest. If you are late and you want to lift you must call and have your name placed on the meet roster. If you do not call you will not be able to lift.

 

WNPF/WNPF LIFETIME membership card: All lifters must be current members of the WNPF. Cards cost $20 youth & high school, $30 college students (20-23) & Seniors 65+. Adults $40.00.

Cards can be paid in advance or at the show.

 

Equipment rules: RAW- SINGLETS AND OPTIONAL WRAPS AND A BELT,

 

SINGLE PLY CATERGORY- SINGLE PLY BENCH SHIRTS MADE OF POLY OR DENIM AND THE SHIRT MUST BE CLOSED, SINGLE PLY SUITS MADE OF POLY ONLY, NO BRIEFS.

 

MULTI-PLY CATEGORY- DOUBLE PLY BENCH SHIRTS MADE OF POLY OR DENIM ONLY. SHIRTS CAN BE OPEN OR CLOSED IN THE BACK WITH VELCRO. A MAXIMUM TOTAL OF THREE PLIES (SQUAT SUIT AND BRIEFS). 36” WRIST WRAPS AND 2.5 METER KNEE WRAPS ARE ALLOWED. NO CANVAS!

 

 Admission: $10.00 for all spectators, coaches, spotters and non-lifters. Lifters please tell your cheering section and coaches/spotters that there is a fee to see the show.

Shirts & Attire will be sold at the event. 

Send your entries to WNPF, POBOX 142347, Fayetteville, GA. 30214

Meet director: Troy Ford, Phone: 770 668-4841, please leave a message or for a faster response email us @ wnpf@aol.com                                                                                        WNPF Website: www.wnpf.net