Eric Adolph
01-03-2012, 03:49 PM
http://www.facebook.com/events/299881086731173/
2012 APF NEW YORK STATE
FULL POWER CHAMPIONSHIPS
March 24TH, 2012
SPONSORED BY: SHAWNA MENDELSON & TEAM BLUE COLLAR BARBELL
EVENT LOCATION: ALL NATURAL GYM
163 SOUTH 11TH STREET
LINDENHURST, NY
631-957-7373
ELIGIBILITY: Open to all APF registered athletes.
WEIGH-IN: ALL NATURAL GYM
24 hour weigh in rule will apply.
Friday - March 23rd 11:00am - 4:00 pm
Saturday March 24th 9:00 am – 10:00am
Meet will be Raw and Equipped!
COMPETITION: Mandatory rules briefing Saturday at 10:30 am
LIFTING SCHEDULE: Saturday March 24th. Meet will Start at 11am Sharp!
UNIFORM: Mandatory - Must have one piece lifting suit or wrestling singlet.
APF Rules apply.
CONTEST LIFTS: Squat - Bench Press – Deadlift and/or Bench Press Only
ENTRY FEE: $100 for the full meet, $80 for Push/Pull, $60.00 Bench only!
MARCH 19TH, 2012. $20.00 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.
2012 APF NEW YORK STATE RECORD BREAKER
FULL POWER CHAMPIONSHIPS
March 24th 2012
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: □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
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 □ Push/Pull (must lift in both)
Raw , Single Ply, Multiply Please circle!
Fees & Payment: Late fee after 3/19/2012 $20 $___________
AAPF# _________ Exp. Date __________
Entry fee Powerlifting $100 $___________
Entry Fee Push/ Pull $80 $___________
Entry Fee Bench Only $ 60 $___________
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 2012 APF NY State Championships, MARCH 24TH, 2012.SIGN HERE X
RETURN ENTRY FORMS TO: MAKE CHECKS PAYABLE TO SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY (631) 957-7373
Thenewgym@gmail.com
2012 APF NEW YORK STATE
FULL POWER CHAMPIONSHIPS
March 24TH, 2012
SPONSORED BY: SHAWNA MENDELSON & TEAM BLUE COLLAR BARBELL
EVENT LOCATION: ALL NATURAL GYM
163 SOUTH 11TH STREET
LINDENHURST, NY
631-957-7373
ELIGIBILITY: Open to all APF registered athletes.
WEIGH-IN: ALL NATURAL GYM
24 hour weigh in rule will apply.
Friday - March 23rd 11:00am - 4:00 pm
Saturday March 24th 9:00 am – 10:00am
Meet will be Raw and Equipped!
COMPETITION: Mandatory rules briefing Saturday at 10:30 am
LIFTING SCHEDULE: Saturday March 24th. Meet will Start at 11am Sharp!
UNIFORM: Mandatory - Must have one piece lifting suit or wrestling singlet.
APF Rules apply.
CONTEST LIFTS: Squat - Bench Press – Deadlift and/or Bench Press Only
ENTRY FEE: $100 for the full meet, $80 for Push/Pull, $60.00 Bench only!
MARCH 19TH, 2012. $20.00 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.
2012 APF NEW YORK STATE RECORD BREAKER
FULL POWER CHAMPIONSHIPS
March 24th 2012
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: □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
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 □ Push/Pull (must lift in both)
Raw , Single Ply, Multiply Please circle!
Fees & Payment: Late fee after 3/19/2012 $20 $___________
AAPF# _________ Exp. Date __________
Entry fee Powerlifting $100 $___________
Entry Fee Push/ Pull $80 $___________
Entry Fee Bench Only $ 60 $___________
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 2012 APF NY State Championships, MARCH 24TH, 2012.SIGN HERE X
RETURN ENTRY FORMS TO: MAKE CHECKS PAYABLE TO SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY (631) 957-7373
Thenewgym@gmail.com