2004 APF Wisconsin State Powerlifting Championships
Saturday, December 11, 2004
Location: Iola-Scandinavia Fitness-Aquatic Center
540 S Jackson St., Iola WI 54945
Meet Director: Gary Reichert, 424 Water St. #B, Iola, WI 54945
(715) 445-5941 lifterg@tds.net
Hotels: There are several hotels in Waupaca (12 miles). We will advise competitors
When special packages have been arranged.
Eligibility: APF Registered Athletes
All entries in APF sanctioned events must have a valid APF registration card.
(APF Registration fee is $30. Registration will be available at weigh-ins)
APF registration for High school divisions is $15
*Legal attire must be worn for all divisions*
Weigh-Ins: Iola-Scandinavia Fitness-Aquatic Center
Friday, December 10th 1:30 PM - 7 PM (Whirlpool on-site)
Saturday, December 11th 8:00 AM - 9:30 AM
Event Start Time: Competition begins Saturday, December 11th at 10am
Mandatory Rules Meeting at 9:30am
Contest Lifts: APF Wisconsin - Full Power, Bench Press only, Deadlift only.
AAPF Wisconsin- Same divisions
Awards: Top 3 lifters per division. (Trophies) Best overall lifter for Full Power,
Bench Press Dead lift.
Weight Classes: 114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 308, Super
Entry Fee: APF $40 for 1st division, $20 each additional division.
AAPF $50 for 1st division $25 for second division
Deadline: There will be a $10 Later Entry Fee for any entries after December 1, 2004.
Last Name First Name MI
Address_____________________________________________
e-mail_____________________________
City____________________________
State______________________
Zip Code_____________________
Home Phone_________________________
Workout Facility_____________________________________
Division(s): APF Wisconsin_________ AAPF Wisconsin_______
Men's_______ Woman's_______
Junior____Master (1 or 2)_____
HS(13 - 15, 16 - 17, 18 -19)_____Open________
Weight Class__________
Full Power______ Bench Press______ Dead lift_______
Release and Waiver
I do herby waive and release all rights and claims for damages that I may have against the Meet Directors Gary Reichert and any and all participating sponsors and supporters in any manner growing or arising out of my participation in the 2004 APF Wisconsin State Powerlifting meet hosted at the Iola-Scandinavia Fitness and Aquatic Center. I attest and verify that I have full knowledge of the risks involved with my participation in this event, and that to the best of my knowledge I am physically fit and able to participate in this event.
Signature____________________________________________Date____________________________
(Parent/Guardian required if under 18 years of age)
Make Checks payable and send: Gary Reichert, 424 Water St. #B, Iola, WI 54945
