Pride Powerlifting Event Entry Form 2009
ENTER EARLY TO SAVE MONEY! ALL LIFTERS MUST WEAR A SINGLET DURING COMPETITION.

REGULAR ENTRY
$45 for Bench Press or Deadlift - $80 for Bench Press & Deadlift


Already entered and need to pay? CLICK HERE

TEAMS: Must have at least 5 people entered in the contest to form a team. TEAM AWARDS & NO ADDITIONAL FEES! Get your gym involved.
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PERSONAL INFORMATION:
Make sure all information is filled out. We will most likely be contacting you before the event.

Your Full Name  
Address
City ST ZIP
Phone Number (important) 
E-mail Address
Age on day of event         Birth Date 
Sex


CONTESTS BEING ENTERED
Knee wraps, wrist wraps and belt are allowed in all raw divisions. Click all that you are entering.


RAW BENCH PRESS
EQUIPPED BENCH PRESS   UNLIMITED BENCH PRESS  

RAW DEADLIFT  EQUIPPED DEADLIFT
 


WEIGHT CLASS
Please circle the weight class you will compete in. You must weigh this or less during weigh-ins. Since custom awards are made in advance, if you do not make the weight you circle, you may not receive an award.
Try and be accurate as possible.

Men:           Women:           Youth:


AGE DIVISION
Please check the age division(s) you will compete in. Remember adding a 2nd division will double entry fees.
You will also get 2 awards and be competing for both records.

YOUTH 11-12     TEEN 13-15     TEEN 16-19     JUNIOR 20-25
OPEN     SUBMASTER 34-39     MASTER 40-46     MASTER 47-53
MASTER 54-60     MASTER 61-67     MASTER 68-74     MASTER 75-79
MASTER 80+     SPECIAL OLYMPIAN     LAW/FIRE     DISABLED


Questions? Call us (208) 964-5066 or 509-868-2192

FREE T-SHIRTS
All entries get a FREE t-shirt. Please mark your size.
Size:

OPTIONAL - List songs that you would like to hear while you are lifting
Song 1

Song 2

Song 3

Comments

WAIVER:
Disclaimer: In consideration in the acceptance of the entry into the said competition, I hereby waive, release and discard any and all claims for damages, death, personal injury or property damage which I may have or which may hereafter occur to me as a result of my participation in Pride Powerlifting Events. In agreeing to this release I intend to be legally bound, for not only myself but also for my heirs, my executors and my administrators, to this waiver. This release is intended to discharge in advance, Judy Sverchek, Wesley Kampen, Monster Muscle LLC, Pride Powerlifting, venue location, sponsors, volunteers and anyone connected with this competition, including any unnamed sponsors, officials, agents or representatives of these individual organizations from and against all liability arising out of or connected in any way with my participation in said event, even though that liability may arise of the negligence or carelessness on the part of persons mentioned above. It is further understood that this event is a hazardous recreation activity. I understand that I am not covered for any personal injury and/or property damage under any medical or liability insurance policies of any of the aforementioned parties or unnamed sponsors. I further understand that serious accidents occasionally occur during said activity and that participants sometimes sustain serious personal injuries including death and/or property damage as a consequence thereof. Knowing the risks of said activity, nevertheless, I hereby agree to assume those risks and to release and hold harmless all of the persons mentioned above who, in any way, might otherwise be liable to me, or his/her heirs or assigns for damage. It is further understood and agreed that this waiver, release and assumption of risk is to be binding on my heirs and assigns. I understand that performing the bench press with a reverse-grip is illegal. I also understand that if I opt to perform the bench press with a “suicide-grip”, defined as grasping the bar with the thumbs not in the wrapped position or thumbless-grip, that I am choosing to do so against the recommendations of Pride Powerlifting, and increasing the risk of personal injury.
I agree with this waver Yes No






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