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Thread: NEW YORK STATE APF CHAMPIONSHIPS APRIL 24TH 2010- Get in your APPS!!!!!

  1. #1
    Wannabebig Member
    Join Date
    May 2004
    Posts
    76

    NEW YORK STATE APF CHAMPIONSHIPS APRIL 24TH 2010- Get in your APPS!!!!!

    Hey Guys! Below is the application for the NYS APF Championships. He may have a special guest flying in from Cali, Glen Russo is looking to hit the all time bench record of 1100lbs!!! His lifts are looking great in the gym!

    If you have any questions please contact me directly. shawna4@optonline.net

    Looking to see you all soon! Stay Strong!

    Shawna


    2010 APF NEW YORK STATE RECORD BREAKER
    FULL POWER CHAMPIONSHIPS
    APRIL 24TH, 2010


    SPONSORED BY:
    APF NY STATE CHAIRMAN SHAWNA MENDELSON
    Shawna4@optonline.net


    EVENT LOCATION:
    WORLD GYM
    207 LITTLE EAST NECK ROAD,
    WEST BABYLON NY 11704
    www.worldpowerliftingcongress.com
    516-993-6378

    HOST HOTEL: TBD


    ELIGIBILITY:Open to all APF registered athletes.


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

    Friday April 23rd 11:00am - 4:00 pm
    Saturday April 24th 8:00 am 10:00am


    COMPETITION: Mandatory rules briefing Saturday at 10:30 am

    LIFTING SCHEDULE: LIFTING STARTS AT 11AM SHARP! GET HERE ON TIME TO WARM UP. NO SPECIAL TREATMENT.
    UNIFORM: Mandatory - Must have one piece lifting suit or wrestling suit.
    APF Rules apply.

    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 April 17th, 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.


    2010 APF NEW YORK STATE RECORD BREAKER
    FULL POWER CHAMPIONSHIPS
    APRIL 24th, 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: □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 □Both (must lift in both)


    Fees & Payment:
    Late fee after 4/17/2010 $50 $___________

    AAPF# _________ Exp. Date __________

    Entry fee Powerlifting $100 $_________Entry Fee Bench $70 $___________

    TOTAL $___________
    Paid: □Cash □ 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, WORLD GYM Inc. 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, APRIL 24TH, 2010.

    ________________________________
    Signature

    Return Entry Form to: Make checks payable to: Shawna Mendelson
    7 CARDINAL CT WYANDANCH NY 11798 * shawna4@optonline.net Phone 516 993-6378
    Last edited by Lil Mendy; 03-14-2010 at 06:14 PM. Reason: erased something

  2. #2
    Wannabebig Member
    Join Date
    May 2004
    Posts
    76
    Looks good!

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