2002 USA Powerlifting
 Rockview Spring Men's Open 
Official Entry Form

Saturday May 18th, 2002
FREE CONTEST
Entry Deadline April 12th!!

What must you do to enter this FREE USAPL Contest
  • You must be a registerd USAPL Member
    • NO CARDS WILL BE SOLD AT THE CONTEST
    • How to can I buy a USAPL Card?
  • A $25 Deposit to secure a spot in the invitational contest by April 20th!!
    • A Personal Check sent Tom Peterman
    • Make Check out to Rockview SCI
    • No Deposits Accepted past April 12th, 2002
    • Deposits will be returned upon attendance to this contest
  • Mail this entry and Attachment 2 to the addresses given at the bottom of this entry by April 12th!!
    • A background check is required so no late entries accepted.
Restrictions
Nobody under the age of 18
No female lifters.
Sorry this is prison policy not the USAPL!

ALL FIELDS MANDATORY
Name:________________________________ 
Age:_______  Date of Birth:________ 
Weight class:________  
USAPL Card # ________  
You must purchase a card in advance of this contest Buy Card Now!

E-mail:_____________________ 
 
 

RELEASE FROM LIABILITY
(Read this carefully)

In consideration of the acceptance of my entry form 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 this competition from any and all liability, including any result 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. This is, whether I think the results of the test 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 test, which may 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. I understand and agree that if I fail to pass the drug tests, my name will appear on a published list of suspended members. f 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 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 acceptance of my entry in this contest. If any provision of this 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 force and effect. I also certify with my signature that this release/agreement cannot be modified orally. 
 
_____________________________ 
Lifters Signature                       
__________
date
Mail Entry and Attachment 2 to:
INCLUDE $25 Deposit Check To Tom Peterman made out to Rockview SCI
Tom Peterman, C.A.M. II
SCI Rockview
Box A Rt. 26
Bellefonte, PA 16823

(814) 355 4874 ext. 229 (For any questions)


Steven T. Mann
50 Rinaldi Blvd. Apt 2C
Poughkeepsie, NY 12601

Contest Sponsors:


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