2011 Rudy Sablo Memorial

Men’s and Woman’s Weightlifting Competition

Sanctioned and conducted by the Metropolitan Local Weightlifting Committee of the U.S.A. Weightlifting Federation

Date: September 25 , 2011. Sun.

Place: 645 Stewart Ave

Garden City, N.Y. 11530

Sanction #: (06-11-05)

Categories Weigh-In Competition

Females 9:00AM 11:00 pm

Men 56, 62, 69, 77, 85 10:00 Am 12:00 PM

Men 94, 105, +105 11:30AM 1:30PM

Lots for all weight classes will be drawn at 11:30AM

Eligibility:

All athletes currently registered with the USAW

Rules:

Competition is conducted under USAW rules. Athletes must present USAW membership cards at the weigh-in, or if not currently members of the USAW, must register that day

(Minors under 18 may only register with parent’s or guardian’s signature on USAW application.)

Awards:

Will be given to the first three place winners in each men’s weight class. However, due to the number of women lifting, awards will be given on Sinclair formula for the top 6 lifters.

Outstanding lifter award will go to the best male athlete competing, as well as the best male and female junior athlete competing. Awards will also be given out to the three

most outstanding male and female master lifters based on formula.

There will also be a team award given, men and women combined.

Entry Fee:

$35.00 for masters, seniors, school age, and junior lifters if receive before September 6 2011. Late entries will be accepted with an additional $15.00 late fee.

Therefore, the total amount charged for a late entry will be $50.00 If not mailed by Sept. 12. Early entries are Appreciated. Please make check out payable Christopher Smith and please

send the entry to the meet director Christopher Smith at 111 Division Avenue, Levittown, N.Y. 11756. If you have any question please contact Christopher Smith at (516) 317-3436 or by e-mail at

Name: ______

Address: ______

Club Affiliation: ______

Bodyweight Class: ______

Date Of Birth: ______

Championship Entering (Men or Women): ______

Best Total (In Last 12 Months): ______

E-Mail Address: ______

Request and Release

I, the undersigned, hereby request permission to enter the premises of Professional Athletic Performance Center , at 645 Stewart avenue,

Garden City New York 11530 and to participate in the weightlifting competition s) to be held there on Sun. September 25, 2011. I have inspected the premises and

I know the substantial risks and dangers involved in the said activities, and that unanticipated and unexpected dangers may arise during such activities and I assume

all risks of injury to my person and property that may be sustained in connection withheld stated and associated activities in and about the premises and in

traveling to and from the said premises and activities.

In consideration of the permission granted to me to enter the premises and participate in the stated activities, I do hereby, for myself,

my heirs, administrators and assign, release, remise and discharge the Metropolitan Local Weightlifting Committee of the USAW and the individual member thereof,

the Professional Athletic Performance Center, owners, operators, sponsors and sanctioners of said premises, of the activities and causes of in said premises and

participation in the stated activities, regardless of who is at fault or whose negligence caused such a loss or injury, even if the loss or injury is caused by the fault or negligence

of the Metropolitan Local Weightlifting Committee of the USAW and the individual members thereof, or any other of the parties mentioned herein as being released.

I represent and certify that my true date of birth is stated below, and if I am not, in any way, the employee, servant, or agent of the owners, operators, sponsors or

sanctioners of the premises and/ or activities therein. I further agree that I have reviewed, understand and agree to abide by the rules and regulations of this program.

I HAVE READ AND UNDERSTAND THE FORGOING REQUEST AND RELEASE

Signature: ______Date: ______

IF YOU ARE UNDER 18 YOUR PARENT/LEGAL GUARDIAN MUST SIGN BELOW

Signature of Parent/Guardian: ______Date: ______

THE METROPOLITAN LWC RESERVES THE RIGHT TO REJECT ANY ENTRY