NASA KANSAS CITY REGIONAL MEET
DRUG FREE POWER LIFTING DATE: SATURDAY NOV 26th 2005
LOCATION:O.P. Assembly of God Gymnasium 7700W. 75th ST Overland Park KS 66204
Hotel: Holiday Inn 7240 Shawnee Mission PK. Way Overland Park KS 66202 PH. 913-262-3010
Room Rates: $69.95 Plus Tax.
MEET DIRECTOR: Jim Duree 5619 Pawnee Ave. Kansas City KS 66106
Call: Cell [913 ] 626-1142 or email jduree7086@aol.com www.lenexastrenghtandfitness.com
Early weigh-in 6:00PM TO 7:00PM Friday NOV 25 TH 2005
(All lifters may weigh-in, men, women & youth)
Regular weigh-in 7:00 AM TO 8:15 AM Saturday NOV. 26 TH 2005
(All lifters may weigh-in Men, Women & youth
Lifters meeting at 8:15 am Lifting will begin at 9:00 am NOV. 26 TH 2005
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 power lifting rules will be strictly enforced, No Double ply or canvas equipment allowed
NASA Membership: $30.00 All Adults: High school: $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, Dead lift 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 legal
but they must have neck line and closures in back, can not be low cut on chest.
Power Sports Full Meet: Curls, Bench, Dead lift for Total (Squats extra) No supportive equipment allowed except a 4" belt
TEAM ENTRYS: $40.00 Power lifting $40.00 Bench Press $40.00 Power Sports
Entry Deadline: Nov.19TH 2005 Entries postmarked later than Dead Line, ADD a $10.00 late fee to entry
Also for those that are not pre-registered and sign in at the weigh-in Nov.25th 2005 will be charger a $10.00 late fee
THERE WILL BE NO ENTRYS ACCEPTED ON THE MORNING OF NOV. 26 TH
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 & OPEN
YOUTH: Ages 5 to 12
SPECIAL OLYMPIC
PURE: STEROID FREE FOR LIFE
NATURAL: STEROID FREE FOR 3 YEARS
NOVICE: LIFE TIME STEROID FREE, NEVER 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 FREE 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
PUSH - PULL MEET: $40.00 FOR FIRS DIV. ENTERED &$30.00 FOR EACH EXTRA DIV.
POWERLIFTING MEET: $40.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWER LIFTING BENCH: $40.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWERLIFTING PLUS BENCH PRESS: $70.00 FOR THR FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POLICE OR FIRE: $40.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWER MEET & POLICE & FIRE MEET: $00.00 FOR THE FIRST DIV. & $30.00 FOR EACH EXTRA DIV.
POWER SPORT FULL MEET: $40.00 FOR THE FIRST DIV. & $30.0 FOR EACH EXTRA DIV.
POWER SPORT MEET: + Sq or BP. : $70.00 FOR THE FIRST DIV. & $30.00 FOR EACH EATRA DIV.
POWER SPORT SINGLE LIFTS: CURL $40.00, SQ. $40.00, BP. $40.00, DEADLIFT $40.00
ANY TWO POWER SPORTS SINGLE LIFTS: $70.00. ANY THREE PS LIFTS $90.00.
ANY TWO SINGLE LIFT + PS FULL MEET $115.00
H. S. & TEEN LIFTER: $25.00 FOR THE FIRST DIV. & $15.00 FOR EACH EXTRA DIV.
SPECIAL OLYMPIC LIFTERS: $25.00 FOR THE FIRST DIV. & $15.00 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 --------- P S 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 Anabolic 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 responsible for my well-being and safety 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 waiver and 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
