Heartland Strongman Challenge 4

(North American Strongman Society Membership Required of all Contestants)

 

 

PROMOTER:         Bulldog Strength Sports                     

 

DATE:                    August 13, 2005 

 

TIME:                                      11 AM                                    

 

LOCATION:                          Harrah's Casino & Hotel  Council Bluffs Iowa

 

HOTEL: TBA

 

WEIGH-INS:          August 12 From 7 to 8 of August 13 from 9 to 10             

 

RULES:                   Rules Meeting  at 10:30      

 

DIVISIONS:                           Lightweight and Heavy weight men's, women open,  and masters,

WEIGHT CLASSES:             Lightweight 230 and under   Heavyweight over 230

 

EVENTS:                                 1. Log Press reps

2. Super Yoke

3. Conan's Wheel

4. Hercules Fat Bar Hold for Time

5. Medley (farmers, Stone, TBA)

 

                                Events subject to change without notice

 

AWARDS:              Silver Plates         

ENTRY FEES:         $50         

ENTRY DEADLINE:               August 6

MAKE ALL CHECKS PAYABLE TO:  Bulldog Strength Sports(Entries received are non-refundable)           

                                Email/Phone number: 402-672-7835 - bulldogstrengthsports@cox.net

 

ENTRY FORM

In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors and administrators, and my assignees, waive and release all rights and damages I may have against Bulldog Strength Sports & it's staff, Joe Secord , Harrah's Casino & Hotel, North American Strongman Society, Willie  or Dione Wessels, any and all sponsors of the event, their representatives and assigns, for any and all injuries incurred by me in conjunction with these championships and in traveling to and from the event. And in further consideration of permission being granted to me to participate in the 2005 Heartland Strongman Challenge  and its related events, I hereby grant NASS, and/or any other approved video or entertainment organization and all of their agents, successors, licensees and assigns, the right to photograph or otherwise reproduce (whether by film, tape, still photography or otherwise) my voice, appearance and name, and to exhibit, distribute, transmit, and/or otherwise exploit any and all media, including without limitation, by means of still photography, motion pictures, radio, television, television motion pictures, video, printing or any other medium now known or hereafter devised, including with respect also to any merchandising, advertising and/or publicity, and the right to use my name and information about me in any connection with any of the foregoing. The rights granted by me hereunder are granted for the entire universe and shall endure in perpetuity and no further compensation shall be payable to me at anytime in connection therewith. Nothing contained herein shall be deemed to obligate NASS, and/or any other approved video or entertainment organization, to photograph or otherwise reproduce my voice, appearance or name, or to make use of any rights granted herein. I also understand that the aforementioned rights may be reassigned at any time without further consent. I understand that NASS and/or any other approved video or entertainment organization, are videotaping and photographing the Event in express reliance upon the foregoing, and I represent and agree that I am free to grant the rights granted to NASS and/or any other approved video or entertainment organization hereunder. Therefore I affix my signature below:

NAME:                                                                                                                                                         AGE:                                                                                                           

 

ADDRESS:                                                                                                                                                                                                                                                 

 

CITY:                                                                                   STATE:                                ZIP                                                                                                                

 

PHONE:                                                                               DATE OF BIRTH:                                                                                                          

 

DIVISION:                                                                                                 WEIGHT CLASS                                    HT:                                       

 

SIGNATURE:                                                                                                                                                                                                                                                                 

(PARENT OR GUARDIAN SIGNATURE REQUIRED IF CONTESTANT IS UNDER 18 YEARS OF AGE)