2003 IronDawg Open entry form

2003 IronDawg Open Powerlifting and Bench Press Championships
Saturday, November 29, 2003
Holiday Inn, Marietta, Ga. (Delk Road and I-75)

Name______________________________________________________________________________________

Address____________________________________________________________________________________

City__________________________________State_________________Zip______________________________

Phone_______________________________________Birthdate________________________________________

Email_______________________________________________________________________________________

APC Card #_______________(If you have no card you can purchase one at the meet)

Awards 1st, 2nd 3rd. in open classes. By formula in women, teenagers, Juniors, sub-masters and masters 40-50 and masters 50+.

Meet	Category			Weight	Class
PL meet ___	Submaster 35-39__	Master:		Women	Men
	Junior 20-23 ___	40-44___	65-69___	44k___ 52k___	52k___ 56k___
Bench meet ___	Teenage 13-15 ___	45-49___	70-74___	56k___ 60k___	60k___ 67.5k__
	Teenage 16-17 ___	50-54___	75-79___	67.5k__ 75k__	75k___ 82.5k__
PL and Bench ___	Teenage 18-19 ___	55-59___	80-84___	82.5k__ 90k__	90k___ 100k__
	Open ____	60-64___	85-90___	90+k___	110k__ 125k__
Team entry___					140k__ 140+k__

Release From Liability, read this carefully.
By signing this you will be giving up important rights. In consideration of my acceptance of my entry form in this powerlifting/benchpress competition, I understand that I am legally bound for not only my self but also for my heirs, my executors, and my administrators. In signing this release from liability I waive and release L B Baker, Nadine Baker, The American Powerlifting Committee, Inc., a Georgia Corporation, IronDawg Power, a subsidy of Advisor Solutions, Inc., a Georgia Corporation, Holiday Inn and staff, all Officials, Referees, Spotter/Loaders, and any other person or firm taking part in this competition from any and all liability which may arise from this competition. I understand all of the above for my acceptance of my entry in this competition. By signing this entry form I affirm that all the information on this form is correct.

Signature________________________________________________________________________________

Parent or guardian if under 18_________________________________________________________________

Entry fee: powerlifting $70.00 team entry $50.00 benchpress $60.00 both $120.00
Make check payable to Meet Director and Mail to: Meet Director, P O Box 40, Bogart, Ga. 30622
L B Baker 770-725-6684 cell 770-713-3080
www.irondawg.com