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Lil Mendy
08-07-2007, 06:13 AM
THE NEW GYM
PRESENTS
THE LATE SUMMER PUSH/PULL BASH
SEPTEMBER 15, 2007


MEET DIRECTOR: SHAWNA MENDELSON

EVENT LOCATION: THE NEW GYM

ADDRESS:
THE NEW GYM
(516) 292-7361
177 WOODFIELD ROAD
WEST HEMPSTEAD, NY 11552
www.thenewgym.net



ELIGIBILITY: Qualified APF/AAPF registered athletes only.

WEIGH-IN: THE NEW GYM
24 hour weigh in rule will apply.

WEIGH IN TIME: FRIDAY 8AM-3PM, SATURDAY 10AM-11AM
COMPETITION: Mandatory rules briefing SATURDAY @ 11:30 AM

LIFTING SCHEDULE: PUSH/ PULL MEET
MEET WILL START AT 12PM SHARP!!

UNIFORM:
Mandatory - Must have one piece lifting suit or wrestling suit.
APF/ AAPF rules apply.

CONTEST LIFTS: Bench Press Deadlift and/or Bench Press Only


ENTRY FEE: A fee of $60.00 for both or $40 for bench only must accompany this entry form and be received no later than SEPTEMBER 10, 2007.
A $25.00 late fee for any entries allowed in after the deadline.

AWARDS: 1-3rd place and Best Lifter.


Lifting Gear Needs: WWW.INZERNET.COM
RULES: WWW.WORLDPOWERLIFTINGCONGRESS.COM


THE NEW GYM
PRESENTS
THE LATE SUMMER PUSH/PULL BASH
SEPTEMBER 15, 2007

Last Name First Name MI
--------------------------------------------------------------------------


Address _________ City _____________State __ Zip Code_________

Home Phone __________ Work Phone _________ Age ________

e-mail ________________________Date of Birth _____________________


Class Entered Men: 114 123 132 148 165 181 198 220 242 275308 SHW
Class Entered Women: 97 105 114 123 132 148 165 181 198
Teen Age: 97 105 114 123 132 148 165 181 198 SHW
Masters :97 105 114 123 132 148 165 181 198 SHW
Sub Masters :97 105 114 123 132 148 165 181 198 SHW

Weight Class:______□PUSH/PULL OR □BENCH ONLY


Fees & Payment:
PUSH/PULL $60 $___________

Bench Only $40 $___________


Late fee after 9/10/07 $25 $___________


APF/AAPF# _________ Exp. Date __________

APF/AAPF Membership Fee $30 $___________


TOTAL DUE $___________

Waiver:

In consideration of the acceptance of this entry, I hereby for myself, my heirs, executors, and administrators waive and release any and all rights and claims for damages I may have against the APF, SHAWNA MENDELSON, THE NEW GYM their representatives, successors, and assigns for any and all injuries or bodily harm that I might suffer while competing at THE NEW GYM LATE SUMMER PUSH/PULL BASH SEPTEMBER 15,2007.


SignatureX________________________
Parent or Guardian if under 18X_________________

Return Entry Form to:

:strong: Make checks payable to:
SHAWNA MENDELSON
177 WOODFIELD ROAD
WEST HEMPSTEAD, NY 11552