11th ANNUAL
CENTRAL WISCONSIN'S BENCH PRESS CHAMPIONSHIP
Date: Saturday March 15, 2008
Place: Adams Friendship High School (Hwy 13 to East North Street go East 1 Mile)
Weigh in: Early weigh ins: Friday 6:00pm-8:00pm and Saturday 7:45am- 9:45 am
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Rules: 10:30 am Lifting begins at 11:00 am
Wt. Class: MEN 114 123 132 148 165 181 198 220 242 275 308 SHW
WOMEN 97 105 114 123 132 148 165 181 SHW
Divisions: Youth 11-12, Teen junior 13-15, Teen Senior 16-19, Junior Open 20-26 Open 27-34,
Sub Master 35-39, Master1 40-48), Masters II (49-55),Masters III (56+), Police/Fire, Shirt and/or Raw
Team: Must have seven lifters in different weight classes, or divisions. All must enter individually
Entry Fee: $25.00 Teen, $30.00 Adult 2nd Division and Teem Event $20.00
All proceeds will be used towards the support of the high school powerlifting club.
Awards: Everyone will receive a trophy that completes one lift.
There will be best lifter trophies given.
BREAKFAST WILL BE SERVED BY A-F HIGH SCHOOL POWERLIFTING CLUB
T-Shirts are available to purchase for $15.00
Our past sponsors for this contest!!
Inzer Advance Designs, House of Pain, Monster Muscle Mag., Powerlifting USA, Magnum Fitness, Titan Support Systems, Fitness Factory, Strong Arm Sports, Matrix and Crain's Muscle World
**Bench your Body Weight: $1.00 winner takes all - sign up at meet
Make checks payable to: A-F Weight Club / John Easterly 734 Deerborn Dr Grand Marsh, WI 53936 (608) 339-3977 E-Mail easterly@maqs.net
Visit www.wisconsinsbestbench.com for more information on this meet and others.
RETURN ENTRY FORM AND FEE BY March 8, 2008, after $5.00 more. Late entries ok Please call!! ___________________________<cut here>__________________________________
Name: _________________________________________ Total Amount Enclosed $________
Address: _____________________________________ Phone: _________________________
City: _________________ State:______ Zip: ___________ Age: ________ Gender: M F
T-Shirt Size: M L XL XXL XXXL ($15.00) E-Mail Address: _______________________
Weight Class: _____ Division: _____ 1st Attempt Weight (may change at weigh ins) _______
Raw(x) _____ Shirt(x) _____can do both
Team: (x) ___ Team name: ______________________________________________________
In consideration of your acceptance of this entry, I hereby waive, for myself, my heirs and assigns, any and all claims for injury or damages which may incur by virtue of my competing in this meet As against John Easterly, his agents or the Adams Friendship school district. I also realize that the sport of power lifting is a high-risk sport and I could be injured. I certify that I am in good health and have no serious health problems and assume full responsibility for such conditions. I have read and fully understand this waiver and assume all risks for injury, and do hereby verify by my signature.
DO NOT SIGN BEFORE READING THIS DOCUMENT FULLY AND CAREFULLY.
Signature _________________________________________ Date: _______________
Parent Signature (if under 18) ______________________________________________
