Early weigh-in 6:00PM TO 7:00PM Friday NOV 12TH 2004
(All lifters may weigh-in, men,women & youth)
Regular weigh-in 7:00am to 8:00 am Saturday NOV. 13th 2004
(All lifters may weigh-in Men, Women & youth
Lifters meeting at 8:15 am Lifting will begain at 9:00am NOV. 13th 2004
Awards will be 1ST through 5th in all weight classes and Div.
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--114.5.5--123--132.25--148.75--165.25--181.75--181.75 +
YOUTH: 44--55--66--76--88--101.4--121.5--143.2--154--154.5+
NASA powerlifting rules will be strictly enforced, No Double ply or canvas equipment allowed
NASA Membership: $30.00 Adults: High school: $15.00: Masters over 65 $15.00
A ONE PIECE LIFTING SUIT OR SINGLET IS REQUIRED FOR ALL LIFTERS.
HIGH SCHOOL LIFTERS ONLY MAY WEAR ONE PIECE LIFTING SUIT OR SPANDEX SHORTS.
DEFINITIONS OF MEET
POWERLIFTING. Squats, Bench, Deadlift. Legal supportive equipment may be used for all lifts.
BENCH PRESS: Single ply shirt, wrist wraps and a 4" belt. No other shirt under bench shirt. Open back shirt are leagl but
they must have neck line and closures in back, can not come low on chest
POWER SPORTS FULL MEET: Curls,Bench,Deadlift for Total (Squats extra) No supportive equipment allowed except a 4" belt
TEAM ENTRYS: $40.00 Powerlifting $40.00 Bench press $40.00 Power Sports
ENTRY DEADLINE: Nov. 5th 2004 Entrys postmarked later than Dead Line, ADD a $10.00 late fee to entry
Also for those that are not preregestered and sign in at the weigh-in NOV.12th will be charger a $10.00 late fee
THERE WILL BE NO ENTRYS ACCEPTED ON THE MORNING OF NOV.13TH
RETURN ENTRYS TO: James Duree 5619 Pawnee Ave. Kansas City KS 66106
NASA KANSAS CITY REGIONALS ENTRY BLANK
DIVISIONS FOR POWER LIFTING, POLICE & FIRE & POWER SPORTS
YOUTH: Ages 5 to 12
SPECIAL OLYMPIC
PURE: STEROID FREE FOR LIFE
NATURAL: STEEROID FREE FOR 3 UEARS
NOVICE: LIFE TIME STEROID FREE, NENER PLACED FIRST IN ANY NASA NATIONALS
TEEN: 13 to 19 LIFE TIME STEROID FREE
JUNIORS: 19 to 23 LIFE TIME STEROID FREE
INTERMEDIATE: 24 TO 29 STEROID FREE FOR 3 YEARS
SUB-MASTERS: 30 TO 39 STEROID FREE FOR 3 YEARS
SUB-MASTERS 1: 30 TO 34 STEROID FREE FOR 3 YEARS
SUB-MASTERS 2: 35 TO 39 STEROID RFREE FOR 3 YEARS
SUB-MASTERS PURE: 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
POWERLIFTING MEET: $45.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWERLIFTING BENCH PRESS: $70.00 FOR THR FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POLICE OR FIRE: $45.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWER MEET & POLICE & FIRE MEET: $90.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWER SPORT FULL MEET: $45.00 FOR THE FIRST DIV. & $30.0 FOR EACH EXTRA DIV.
POWER SPORT MEET + Sq or Bh. P : $70.00 FOR THE FIRST DIV. & $30.00 FOR EACH EATRA DIV.
POWER SPORT SINGLE LIFTS:CURL $45.00, SQ. $45.00, BP. $45.00, DEADLIFT $45.00
ANY TWO POWER SPORTS SINGLE LIFTS: $70.00. ANY THREE PS LIFTS $90.00.
ANY TWO SINGLE LIFT + PS FULL MEET $115.00
HIGH SCHOOL LIFTER: $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 LIFTERS: $25.00
NAME----------------------------------- WT.-CL. -------------------------- AGE --------------------DOB. ---------------
ADDRESS----------------------------- CITY ----------------------- STATE -------------- ZIP---------------
PHONE ----------------------------- E-MAIL----------------------------------
FULL MEET-------------- POWER BENCH----------------- FULL MEET & BENCH PRESS---------------
POWER SPORTS FULL MEET --------- PS Bench---------- FULL MEET + Squat or Bench --------
SINGLE LIFTS: CURL---------- BENCH---------- DEADLIFT-----------SQUAT ---------- TOTAL------------
# OF DIV. ENTERED--------------------- TOTAL AMOUNT ENCLOSED $--------------------------
I realize this competition is a Anoblic Steroid free meet and I may be tested by Urinalysis: In consideration of my acceptance of this entry, I hereby waive, for my self, my heirs and assign, 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 and any of their agents and employee's. 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 responsibal for my well being and safty in the warm up room, on the lifting platform and while I am lifting at this event. I also certify, by my signature that I have read this waiverand fully understand and accept its terms. I do hereby verify my acceptance by my signature by signing below. Do Not Sign This Waiver Before Reading it Fully And Carefully. If You Do Not Accept its Terms Do Not Sign.
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SIGN DATE PARENTS IF NOT 18 YEARS OF AGE
