Meet Location: NEW LOCATION-Wayne Central High School, 6200 Ontario
center rd., Ontario Center, New York 14520
Date: SUNDAY-April 22, 2012
Times: Weigh-ins on Saturday from
5:30pm till 7pm and/or Sunday from 730am till 900am at
the high school. MANDATORY Rules briefing 9 am, Start time 9:45-10 am
Entry fee: $75
for one division and $50 for any additional division or event. Deadline is March 31, 2012 postmark.
A late charge will and must be applied if your app is not postmarked by the due
date. If you are going to be a walk-in you must call and have your name placed
on the roster otherwise you will not be able to lift. Check out the entry form
(page 2) for late fee amounts. Absolutely
no credit, refunds, exchanges or transfers on any and all fees!!!!!!!!!!
Team fee: $80.00 per team in
advance with a team roster. (Each lifter is required to pay the regular entry fee, this fee is to add your team into the Team competition.
The best teams in 2012 by point system will
receive Championship t-shirts and a LARGE championship trophy for the 2012
season.
Membership fee: $20
high school & special Olympics, $30 college students 19-23 yrs and seniors
over 65, all others $40. Memberships expire on the 1st day of the
month purchased in the following year. This member fee can be paid in advance
or at weigh-ins. Cash only at weigh-ins.
Equipment & Rules: Please
go to www.wnpf.net/rules.htm
for all equipment specifications and rules/regulations.
Awards: 1st
thru 5th place in each division and weight class. Best lifter awards
and team awards will be awarded.
Weight classes: Youth
girls (60, 80) Women (97, 105, 114, 123, 132, 148, 165, 181, SHW)- Youth boys (60, 80, 100) Men (114, 123, 132, 148, 165,
181, 198, 220, 242, 275, SHW)
Divsions: Youth 9-10, 11-12,
Teens 13-16, 17-19, Junior 20-23, Open, Subs 35-39, Masters in 10 year increments
and Novice. RAW-
Belt, Knee sleeves, Knee wraps, wrist wraps and a singlet. Elbow sleeves are
allowed in the squat and deadlift only. Equipped- 1 or 2 ply
shirts (poly, denim or open back) and up to a maximum of 2 plies (combo squat
suit and briefs), Wraps and a belt.
Records: State
records can be set at this event. Check out the records at www.wnpf.net/records/htm No 4th attempts in this
championship.
Events: Full
Power, Bench only, Deadlift only, Squat only, Powercurl, Reps & Ironman (Bench/Deadlift
for a total)
Admission: $5.00
per person at the door. Lifters PLEASE advise your cheering section and coaches
that there is a charge to see the show.
Attire sold: WNPF
clothing, meet shirts and more also
Meet Director: Ron
Deamicis the best way to reach me is by email at powerlt103@aol.com Phone # 330 519-
3078
Website: www.wnpf.net
for all information on the WNPF
(Please
fill out the entire application)
Name
____________________________________________________ Nick name
__________________________
Address
________________________________________________________ City
__________________________
State________
Zip Code _____________ Sex- M __ F __ Phone Number
_________________________________
Email
address _________________________________________________________________________________
Wt.
Class _______________ Date of birth _______________ Age on meet day __________
Are
you a 2011-12 WNPF card holder? Yes__ No__ Card # _______ or card expiration
date ____ __1__ ____
Estimated
opening attempts- SQ ______ BP ______ DL ______ PC ______ (These can be changed
at weigh-ins)
Please
check event(s) and division(s) entering below……….
Full Power- Youth__ Teen__ Junior__
Open__ Subs__ Masters__ Police/Fire/Military__ Novice__ Raw__ Equipped__
Bench- Youth__ Teen__ Junior__ Open__
Subs__ Masters__ Police/Fire/Military__ Novice__ Raw__ Equipped__
Deadlift- Youth__ Teen__ Junior__ Open__ Subs__ Masters__
Police/Fire/Military__ Novice__ Raw__ Equipped__
Squat only- Youth__ Teen__ Junior__
Open__ Subs__ Masters__ Police/Fire/Military__ Novice__ Raw__ Equipped__
Ironman- Youth__ Teen__ Junior__ Open__
Subs__ Masters__ Police/Fire/Military__ Novice__ Raw__ Equipped__
Powercurl- Youth__ Teen__ Open__ Masters__
Reps- Teen__ Junior__ Open__ Subs__
Masters__ Police/Fire/Military__
Mail Entry
form and make payment to: Ron Deamicis
Send to: 6531 New Road,
Youngstown, OH 44515
Bank checks,
cash and money orders only. No personal checks accepted
Do not send
your entry form by certified mail, it will not be picked
up. If you want confirmation please email us.
Entry
deadline is March 31, 2012 Postmark, $30 late fee if sent in after this date,
$40 late fee if you are a walk-in lifter. Fees must and will be applied in
advance or at weigh-ins, no exceptions. Cash only at weigh-ins
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. 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 or Signature in
full of parent or guardian if lifter is under 18 Absolutely no
credit, refunds, exchanges or transfers on any and all fees!!!!!!!!!!