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Thread: Apf new york state powerlifting championships april 9th 2011

  1. #1
    Wannabebig Member
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    Apf new york state powerlifting championships april 9th 2011

    Come check out our event! Going to be a great day!!! Hope to see you all soon!



    2011 APF
    FULL POWER CHAMPIONSHIPS
    April 9th, 2011

    ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY

    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

    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:
    Entry fee Powerlifting $75 $___________


    Entry Fee Bench $50 $___________


    Late fee after 3/30/2011 $50 $___________

    APF# _________ Exp. Date ________

    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, APRIL 9TH, 2011.
    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
    Last edited by shawnamendelson; 01-30-2011 at 10:01 PM.

  2. #2
    Get Some! KoSh's Avatar
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    where is this being held?
    "Donít fall for the crap that people are peddling on message boards, in magazines or on TV. Get your **** in order, and get your training in order. Start kicking ass, and take out the crap that doesnít matter. Start doing and believing in the stuff that works, and do it today and forever. You want science and studies? **** you. Iíve got scars and blood and vomit."
    Jim Wendler, 531 Method

  3. #3
    Wannabebig Member
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    Quote Originally Posted by kosh View Post
    where is this being held?
    all natural gym 163 south 11th street lindenhurst, ny

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