BARTLESVILLE CLASSIC POWER LIFTING CHAMPIONSHIPS
DRUG FREE LIFTERS ONLY
DATE: SATURDAY SEPTEMBER 24TH 2005
LOCATION: GILKEYS GYM 5701 S.E. Adams Blvd. Bartlesville OK 74006 ( 918 ) 333-0245
Hotel: Holiday Inn 1410 S.E. Washington Blvd. Bartlesville OK 75006 ( 918 ) 333-8320
ASK FOR LIFTERS RATE AT 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 WEIGH-IN 6:00 PM TO 7:00 PM Friday September 23RD
( All lifters may weigh -in, men, women, & Youth )
REGULAR WEIGH-INS 7:00 AM TO 8:00 AM September 24th
( All lifters may weigh-in, men, women & Youth )
LIFTERS MEETING AT 8:15 AM, LIFTING WILL START AT 9:00 AM SEPTEMBER 24TH
Awards will be 1st through 5th in all Div, and weight class
WT- CL MENS: 114.5--123.5--132.25--148.75--165.25--181.75--198.25--220.25--242.5--275.5--308.5--SHW
WOMENS: -101.4--110.2--114.5--123.5--132.25--148.75--165.25--181.75--181.75 PLUS
YOUTH AGES 5 THROUGH 12: 44--55--66--76--88--101.4--121.5--143.2--154--154.5 PLUS
RULES: ALL NASA POWERLIFTING RULES WILL BE STRICTLY ENFORCED
NO DOUBLE PLY OR CANVAS EQUIPMENT ALLOWED
NASA MEMBERSHIPS: $30.00 ADULTS: $15.00 FOR HIGH SCHOOL: $15.00 MASTERS OVER 65
Make membership payable to NASA please
A ONE PIECE LIFTING SUIT OR SINGLET IS REQUIRED FOR ALL LIFTERS
OTHER THAN HIGH SCHOOL THEY MAY WEAR ONE PIECE LIFTING SUIT, SINGLET OR SPANDEX SHORTS
DEFINATION OF A MEET
POWER LIFTING: Squat, Bench Press & Deadlift for Total, Legal supportive equipment may be used for all lifts.
BENCH PRESS: Single ply bench shirt, wrist wraps & 4" belt may be used Open back shirts are leagl
but they must have heck line and closures in back can not low cut on chest.
POWER SPORTS MEET: curC,Bench Press& Deadlift for Total, (Squat extra ) NO SUPPORTIVE Equipment allowed except 4" Belt
TEAM ENTRY FEES: $40.00 Power lifting $40.00 Bench press $40.00 Power Sports
ENTRY DEAD LINE: Sept. 17th : Entries postmarked later than Dead Line Add $10.00 late fee to entry.
Also those that are not pre registered and sign in at weigh-in on Sept. 23rd will be charged a $10.00 late fee.
THERE WILL BE NO ENTRIES ACCEPTED ON THE MORNING OF SEPT. 24TH
RETURN ENTRIES TO: James Duree 5619 Pawnee Ave. Kansas City KS 66106
BARTLESVILLE POWER LIFTING ENTRY FORM
DIVISIONS FOR POWER LIFTING POLICE & FIRE POWER SPORTS RAW.
YOUTH Ages 5 to 12
SPECIAL OLYMPIC
PURE: LIFE TIME STEROID FREE
NATURAL: STEROID FREEFOR 3 YEARS
NOVICE: LIFE TIME STEROID FREE,NEVER PLACED FIRST IN ANY NASA NATIONAL MEET
TEENAGE: 13 to 19 STEROID FREE
JUNIORS: 13 to 23 LIFE TIME STEROID FREE
INTERMEDIATE : 24 TO 29 STEROID FREE FOR 3 YEARS
SUB-MASTERS: 1 30 TO 34 STEROID FREE FOER 3 YEARS
SUB-MASTERS 2: 35 TO 39 STEROID FREE FOR 3 YEARS
SUB MASTERS: 30 to 39 STEROID FREE FOR 3 YEARS
SM-PURE: 30 to 39 LIFE TIME STEROID FREE
MASTERS 1: 40 to 49 STEROID FREE FOR 3 YEARS
MASTERS 2: 50 TO 59 STEROID FREE FOR 3 YEARS
MASTERS 3: 60 to 69 Steroid free for 3 years
MASTERS PURE: 40 + Life time steroid free
POWER LIFTING MEET: $45.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWER LIFTING BENCH PRESS: $45.00 FOR THE FIRST DIV & $30.00 FOR EACH EXTRA DIV.
POWERLIFTING MEET PLUS BENCH: $70.00 FIR THE FIRST DIV. & $30.00 FOR EACH EXTAR DIV.
POWER LIFTING PLUS POLICE AND FIRE MEET: $90.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWER SPORTS FULL MEET: (SQ, BP, DL, ) $45.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWER SPORTS MEET PLUS BENCH OR CURLS: $70.00 FOR FIRST DIV & $30.00 FOR EACH EXTRA DIV.
POWER SPORTS SINGLE LIFTS: $45.00 SQUATS; $45.00 BENCH PRESS; $45.00 DEADLIFT ; $45.00 CURLS
POWER SPORTS ANY TWO LIFTS: $70.00; ANY THREE LIFTS $90.00;
ANY TWO LIFTS PLUS POWER SPORT MEET $115.00
H. S & TEEN LIFTERS: $30.00 FOR THE FIRST DIV. & $20.00 FOR EACH EXTRA DIV.
SPECIAL OLYMPIC LIFTERS: $30.00 FOR THE FIRST DIV. & $20.00 FOR EACH EXTRA DIV.
YOUTH LIFTER: $25.00
NAME_________________________ WT.CL. _______________ AGE _________________ D.O.B. ______________
ADDRESS_____________________________ CITY ______________________ ST _____________ ZIP ___________
PHONE #___________________________ E-MAIL _________________________
Power Full Meet: ______________ Power Bench Press: _______________ Full Meet Plus Bench: ___________
Power Sports Full Meet: ___________ Power Sports Bench :___________ PS Full Meet Plus Bench or Squats: ___________
Single Power Sport Lifts: _______ Squats: __________ Bench Press: _________ Deadlift: _________ Total: __________
# of Div. Entered: _____________ Total Amount Enclosed: ___________
I Realize this competition is an Anabolic Steroid Free Meet and I may be tested by Urinalysis:In consideration of my acceptance of this entry, I hereby waive for myself, my heirs and assigns, any and all claims for injury or damage which I may incur by virtue of my competing in this contest against James Duree and the Facility used for this competition, any of their agents and employees.I also realize that the sport of power lifting is a high risk sport and that I could be injured. I certify that I am in good health and have no serious health problems and that I assume full responsibility for such conditions. I also realize that I am responsible for my well being and safety in the warm up room, on the lifting platform and while I am at the event. I also certify,by my signature, that I have read this waiver and fully understand and accept its terms. I do so hereby verify my acceptance by my signature below. Do Not Sign This Waiver Before Reading Fully and Carefully. IF You Do Not Accept Its Terms Do Not Sign
_________________________________________________________________________________________
Signed Date Parent Sign If Not ( 18 ) Years Of Age
