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View Full Version : New york state apf holiday madness dec. 4th long island ny!!



shawnamendelson
10-14-2010, 08:26 PM
2010 APF NEW YORK STATE FULL POWER HOLIDAY MADNESS
Dec 4TH, 2010


SPONSORED BY:
APF NY STATE CHAIRMAN-SHAWNA MENDELSON/CHRIS TAYLOR
SMENDELSON2010@HOTMAIL.COM


EVENT LOCATION:
ALL NATURAL GYM
163 SOUTH 11TH STREET
LINDENHURST, NY
631-957-7373
WWW.ALLNATURALGYM.COM
www.worldpowerliftingcongress.com


ELIGIBILITY: Open to all APF registered athletes.


WEIGH-IN: ALL NATURAL GYM
24 hour weigh in rule will apply.

Friday DEC 3RD 11:00am - 4:00 pm
Saturday DEC 4TH 8:00 am 10:00am


COMPETITION: Mandatory rules briefing Saturday at 10:30 am

LIFTING SCHEDULE: Saturday DECEMBER 4th Meet Starts at 11am Sharp!

UNIFORM: Mandatory - Must have one piece lifting suit or wrestling suit.
APF Rules apply. YOU CAN LIFT RAW OR WITH EQUIPMENT!

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


ENTRY FEE: A fee of $100 must accompany this entry form and be received no later than
NOVEMBER 25, 2010. $50.00 late fee for any entries allowed in after the deadline.


AWARDS: 1-3rd place and Best Lifter in each category based on content of entries.



OTHER:
IF YOU PAY THE DAY OF THE MEET, PLEASE BRING CASH! NO CREDIT CARDS ARE ACCEPTED. THANK YOU!



2010 APF HOLIDAY MADNESS
FULL POWER CHAMPIONSHIPS
DECEMBER 4th, 2010

Entry Form


Competitor:

Last Name First Name MI

Address _________________________________________________________________________

City _________________________________ State ____________ Zip Code _________________

Home Phone _______________________ Work Phone ______________________ Age ________

e-mail ___________________________________________ Date of Birth _____________________

Division Entered: PLEASE CIRCLE : RAW EQUIPMENT
□Open □Junior 20-23 □Teen13-15 □16-17 □18-19 □Submaster 33-39
□Masters 40-44 □45-49 □50-54 □55-59 □60-64 □65-69 □70-74 □75-79 □80-84
□ Police/Fire/Military □Powerlifting □Bench Press □Both (must lift in both)


Class Entered Men: 114 123 132 148 165 181 198 220 242 275 308 SHW
Class Entered Women: 97 105 114 123 132 148 165 181 198 Unl
Men □ Women□ Wt Class____________ □Powerlifting □Bench Press □Both (must lift in both)


Fees & Payment:
Late fee after 11/25/2010 $50 $___________

APF# _________ Exp. Date __________

Entry fee Powerlifting $100 $___________


Entry Fee Bench $70 $___________


TOTAL DUE $___________
Paid: □Cash □ Money Order/Cashiers Check


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, AAPF, Shawna Mendelson, ALL NATURAL GYM, their representatives, successors, and assigns for any and all injuries or bodily harm that I might suffer while competing at the 2010 APF NY State Championships, DECEMBER 4TH, 2010. SIGN HERE X


RETURN ENTRY FORMS TO: MAKE CHECKS PAYABLE TO SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
SMENDELSON2010@HOTMAIL.COM Phone 516 993-6378