BARTLESVILLE, BENCH PRESS & DEADLIFT
BENCH PRESS, DEADLIFT & POWER SPORTS
This will also be a H. S. qualifier For the H. S. Nationals; ask for special entry
Date: Satyurday June 4th, 2005
LOCATION: GILKEYS GYM 5701 S.E. Adams Blvd. Bartlesville OK 75006 ( 918 ) 333-0245
HOTEL: Holliday Inn 1410 S.E. Washington Blvd. Bartlesville OK 75006 ( 918 ) 333-8320
ASK FOR LIFTERS RATEAT CHECK IN, ROOMS ARE $60.00 PLUS TAX
MEET DIRECTOR: James Duree 5619 Pawnee Ave. Kansas City KS 66106
Call: ( 913 ) 596-7326 Or E-Mail jduree7086@aol.com
EARLY WIEGH-IN: 6:00 PM to 7:00 PM FRIDAY June, 3rd 2005
All lifters may weigh-in, Men, Women, & Youth
REGULAR WEIGH-IN: 7:00 AM to 8:00 AM SATURDAY June 4th, 2005
All lifters may weigh-in Men, Women & Youth
LIFTERS MEETING AT 8:15 AM Lifting will begin at 9:00 AM
Awards will be 1st through 5th in every weight class and division
WT.-CL MEN'S: 114.5--123.5--132.25--148.75--165.25--181.75--198.25--220.25--242.5--275.5--308.5--SHW
WT.-CL. Women's: 101.4--110.2--114.5--123.5--132.25--148.75--165.25--181.75--181.75+
YOUTH AGES 5 TO 12: 44--55--66--76--88--101.4--121.5--143.2--154--154.5+
RULES:ALL POWER LIFTING RULES WILL BE ENFORCED.
NO DOUBLE PLY OR CANVASS EQUIPMENT ALLOWED
A ONE PIECE LIFTING SUIT OR SINGLET IS REQUIRED FOR ALL LIFTERS
OTHER THAN HIGH SCHOOL THEY MAY WEAR A SINGLET OR SPANDEX SHORTS
NASA MEMBERSHIP: $30.00 ADULTS, HIGH SCHOOL $15.00, MASTERS OVER 60 $15.00
Make membership payable to NASA Please
DEFINITION OF A MEET
POWERLIFTING: Bench & Deadlift for total, legal supportive equipment mat be used for all lifts
BENCH PRESS: Single ply shirt, wrist wraps and a 4"beltmat be used. Open back shirts are legal but they need
neck line and closures in back can not come low on chest
POWER SPORTS MEET: Bench, & Deadlift NO SUPPORTIVE EQUIPMENT allowed except a 4"belt
TEAM ENTRY FEE: $40.00 Powerlifting team , $40.00 Bench Press Team, $40.00 power sports team
ENTRY DEAD LINE : May 27th 2005, Entrys post markes later than Dead lineAdd $10.00 late feeto entry:
Also those that are not pre entered and sign in at weigh-in on June 3rd 2005 will be charged a late fee of $10.00
THERE WILL BE NO ENTRIES ACCEPTED ON THE MORNING OF JUNE 4TH 2005
RETURN ENTRYS TO JAMES DUREE 5619 PAWNEE AVE. KANSAS CITY KS 66016
BARTLESVILLE BENCH PRESS & DEADLIFT CLASSIC
DIVISION FOR POWERLIFTING , POLICE & FIRE , POWER SPORTS
YOUTH: Ages 5 to 12
SPECIAL OLYMPIC:
PURE: LIFE TIME STEROID FREE
NATURAL: 3 YEARS STEROID FREE
NOVICE: LIFE TIME STEROID FREE,NEVER PLACED FIRST IN ANY NASA NATIONALS
TEENAGE: 13 TO 19 LIFE TIME STEROID FREE
JUNIORS: 13 TO 23 LIFE TIME STEROID FREE
INTERMEDIATE: 23 TO 29 3 YEARS STEROID FREE
SUB-MASTERS: 30 TO 39 3 YEARS STEROID FREE
SUB-MASTERS-1:30 TO 34 3 YEARS STEROID FREE
SUB-MASTERS-2: 35 TO 39 3 YEARS STEROID FREE
SUB-MASTERS PURE 30 TO 39 LIFE TIME STEROID FREE
MASTERS-1: 40 TO 49 3TEARS STEROID FREE
MASTERS-2: 50 TO 50 3 YEARS STEROID FREE
MASTERS-3 60 TO 69 3 YEARS SREROID FREE
MASTERAS PURE: LIFE TIME STEROID FREE
POLICE & FIRE: BP & DL: $40.00 FOR FIRST DIV. & $25.00 FIR EACH EXTRA DIV.
POLICE & FIRE: BP OR DL $40.00 FOR FIRST DIV. & $25.00 FOR EACH EXTRA DIV.
POLICE & FIRE PLUS POWERLIFTING: $80.00 FOR FIRST DIV. & $25.00 FOR EACH EXTRA DIV.
POWER LIFTING: BP OR DL: $40.00 FOR FIRST DIV. & $25.00 FOR EACH EXTRA DIV
POWER LIFTING BP & DL: $40.00 FIR FIRST DIV. & $25.00 FOR EACH EXTRA DIV.
POWER SPORTS: BP OR DL $40.00 FOR FIRST DIV. & $25.00 FOR EACH EXTRA DIV.
POWER SPORTS: BP & DL $40.00 FOR FIRST DIV. & $25.00 FOR EACH EXTRA DIV.
HIGH SCHOOL: BP OR DL $30.00 FOR FIRST DIV. & $20.00 FOR EACH EXTRA DIV.
HIGH SCHOOL: BP & DL $30.00 FOR FIRST DIV. & $20.00 FOR EACH EXTRA DIV.
SPECIAL OLYMPIS: $30.00
YOUTH: $30.00
NAME ______________________________WT-CL. ________ AGE _______ DOB. __________
ADDRESS ________________________ CITY _______________ ST ____ ZIP _____________
PHONE: ___________________ E-MAIL _________________________
POWERLIFTING: BP & DL _____ POWERLIFTING: BP________ POWERLIFTING: DL_________
POWER SPORTS:BP & DL ______ POWERSPORTS: BP _______ POWER SPORTS: DL ________
DIV. ENTERED: ____________________ AMOUNT ENCLOSED_________________
I realize this comtition in an Anabolic Steroid Free Meet and I may be tested by Urinalysis: In consideration of my
acceptance of this entry, I hereby. for myself, my heirsand assigns, any and all claims for damage which I may incur
by virtue of my competing in this contest aginst James Duree and the Facility used for this competition any of thier agents
and employee's. I also realize that the sport of power lifting is a high risk sport and that I could get injured. I certify am in
good health and have no serious health problems and that I asume full responsibility for such conditions.
I also realize that I am responsible for my well being and safty in the warm up room, on trhe lifting platformand while
I am at this event. I also certify by my signature, thatI have read this waiver and fully understand and accept it's terms.
I do so hereby verifymy acceptance by my signature below. Do Not Sign This Waiver Befor Reading Fully and Carefully.
If you do not accept its terms do not sign.
___________________________________________________________________________________________
SIGNED DATE PARENTS SIGN IF NOT (18) TEARS OF AGE
