2002 USA Powerlifting
 Bar Benders Powerlifting Invitational 
Official Entry Form

January 19th, 2002
No Entry FEE!! Actually we'll give ya some gas money!!

Entry Deadline December 5th!!

Restrictions
Nobody under the age of 18
No female lifters.
Sorry this is prison policy not the USAPL!

Name:________________________________ 
Age:_______  Date of Birth:________ 
Weight class:________   Lic # __________
Social Security #__________________________
USAPL Card # ________ or I will buy at weigh-in_____ 

Address: Street________________________ 
City:________________________________ 
State: _________ Zip:_______________ 
Phone: (___)________________ 
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 Entries to: Tom Peterman
SCI Rockview
Box A1
Bellefonte, PA 16823


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