The 2003 USAPL Pennsylvania State BP Championships
April 5th, 2003
Greater Scranton YMCA
Official Entry Form
For applications contact meet director Joe Luciano at 570-342-8115 or by mailing a self addressesed envelop to
Joe Luciano
706 N. Blakely St.
Dunmore, Pa 18512


This event will be held on Saturday April 5th, 2003. It will be held at the Greater Scranton YMCA in Dunmore, Pennsylvania. This is a one lift, bench press event. No qualifying total required to enter this event. You may purchase a USAPL membership the day of the contest.

MAIL_________________________
 

Check All Divisions entered: 
Male Female
Open  ____  ____
Teen(14-16) ____ ____
Teen  (17-19) ____ ____
Sub-Master (35-39) _____ ____
Master (40-44) ____ ____ 
Master (45-49) ____ ____
Master (50-54) ____ ____
Master (55-59) ____ ____
Master (60-64) ____ ____
Master (65+) _____ _____
Junior(20-23) ____ ____
Police and Fire _____ _____
Lifetime _____ _____

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: 
Joe Luciano
706 N. Blakely St.
Dunmore, Pa 18512
Home # 570-961-0915
Work # 570-342-8115

Contest Sponsors:

Bob O'Leary Sports Science - BOSS 
701 Keyser Ave. 
PO Box 79 
Scranton, PA 18504
Phone: (570)342-4984 
Fax: (570)342-1368 
Toll Free: (800)666-8870