Collegiate National Championships
April 12-14th, 2002
Official Entry Form
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Address____________________ City_______________ State_____ Zip_________
Phone (______)_________________ Wt. Class________ USAPL Card # ________
Team/School___________________ Best Total___________ T-Shirt Size________ Tickets__________
In consideration of my entry, I, intending to legally, bonded, herby, for myself, my executors and administrators, waive and release the USAPL, Plaza Hotel of Killeen, Texas, the Meet Director, their agents, Representatives, committees, and members from any and all claims or Rights to damage from injuries of losses or suffered by me directly or indirectly competing in or attending the 2002 USAPL Collegiate National Powerlifting Championships.
I agree to abide by the USAPL rules governing this event.
SIGNATURE_________________________________________ DATE_______________________
SIGNATURE_________________________________________ DATE_______________________
(signature of Parent or Guardian if under 18 years old)
| Certification of Eligibilty |
I __________________ the registrar of _______________________________
do hereby certify that ______________________
is a bonafide full-time student (undergraduate
or graduate) in GOOD STANDING persuing a
degree at this Institution, born on or earlier
than 15, April 1977. Please have official school seal placed on this document.
| Release From Liability and Consent to Drug Test |
Release from Liability Read this carefully.
When you sign it you will be giving up important
legal rights.
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.
| _______________________ |
| Signature of Contestant |
| __________________________ |
| Signature of Parent or Legal Guardian
if the contestant is under 21 years of age |
Mail Entry Form & Fee to:
Johnny A. Graham
1706 Shoemaker Drive
Killeen,Texas 76543
$60 Per Entry
Contest Sponsors: Phantom Corps Powerlifting Team
2002 USAPL National Collegiate Championships
Page Found at
http://www.purepowerlifting.com
