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CHRISTSTRENGTH GYM

IN CONJUNCTION WITH THE NORTH AMERICAN STRONGMAN SOCIETY

                                              AND THE XENIA YMCA

 

                                                             PRESENTS

 

THE XENIA

                                       2005

OUTBACK STRONGMAN / STRONGWOMEN

CHALLENGE II

 

 

PROMOTERS:   Orie Barnett  / Shawn Brooks

 

DATE:                        May 7, 2005

 

Time:                        12:00pm

 

LOCATION:        Xenia YMCA

                                         Xenia, Ohio 45385

                                 

WEIGH-INS:      10:30am

 

CONTEST HOTEL:       Holiday Inn Hotels

            300 Towne Sq.

                                                            Xenia, Ohio 45385

                                                            For reservations call 1-800-465-4329

 

DIVISIONS:   Men's (Open) 

                                    Under 175lbs, 176-200lbs

                                    201-231lbs, 232-265lbs

                                    266-300lbs, 300lbs and Over

 

                                    Women's                    Teens

                                     -140lbs, +141lbs          -185lbs, 186lbs+

 

                                    Masters: (40years old and older)

                                    Fire/Police/Military: (Must show I.D.)

                                    -231lbs, 232lbs+

 

EVENTS:        18" Deadlift (Wessel Rule), Viking Press

                   *(log Clean & Press for reps-women), Forward Hold,

                                      Hussefelt Stone, Atlas Stones 

                                             (events are subject to change)

 

 

ENTRY FEE:      $35.00 for NASS members

                               $70.00 for non NASS members 

                               ($35.00 will pay for your membership)

 

ADMISSION:      Free 

 

ENTRY DEADLINE:  4-30-05 

 

MAKE ALL CHECKS PAYABLE TO:         

                                                                                   Orie K. Barnett

                                                                                    686 Smith Ave. #1

                                                                                    Xenia, Ohio 45385

                                                                                    (937) 376-3847

                                                                                    www.Christstrength3@aol.com

Entry Form:

 

By entering this contest I realize that a Strongman Contest of this nature is a  dangerous sport where injury, serious injury and/or death may occur.  In

consideration of my entry, I hereby waive all claims for myself, my administrators, and my heirs against any /all officials, sponsors or organizations however remotely connected with the Outback Strongman/strongwomen Challenge II, City of Xenia, North American Strongman Society, Xenia YMCA, Holiday Inn Hotel, ChriststrengthGym, Orie K. Barnett, Shawn Brooks, William Wessels, North American Strongman Society or any of the staff or sponsors,  which may occur while traveling to and from this contest and while participating in this contest.

I further agree to hold harmless, waive and release all rights (photo, name and likeness), for media (newspapers, TV, radio, and magazines). I have carefully read all of the information and understand it.  I therefore affix my signature and/or parents signature if under 18.

 

NAME:__________________________________________       AGE:______

 

ADDRESS:_____________________________________________________

 

CITY:___________________ STATE:________________  ZIP:__________

 

PHONE:______________________   DATE OF BIRTH:_____________

                                                                                                        

DIVISION:____________ WT.______  NASS MEMBER?  Y___  N___

                                                                      

T-SHIRT SIZE:   M____ L____ XL____ XXL____ XXXL____

 

SIGNATURE: _______________________________________________

 

PARENTS SIGNATURE: _____________________________________

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