APA-WPA Elite Fall Classic

Powerlifting Championship

Saturday April 5, 2014

Elite Performance Center

14350 SE Industrial Wy. Clackamas, OR 97015

Full Power and Bench Only.Drug-Tested or Non-Tested.RAW, Equipped or Unlimited Gear.Sanctioned by the

American Powerlifting Association (APA).American and World Records can be set at this meet. Lifting starts at 9:15AM

sharp. Weigh-ins: Friday, 9:00-10:00AM or 4:30 PM until 6:00PM at Elite Performance Center.Late weigh-in on Saturday 7:30AM until 8:00AM ($20.00 surcharge for late weigh-in). Those arriving to register late or weigh-in on Saturday MUST arrive by 7:30AM or you will not be allowed to lift. You must be an APA member to be eligible. You may purchase your membership card online or at weigh-ins ($30 adult - $15youth or high school student under 18 yrs).

EQUIPMENT MUST MEET APA SPECIFICATIONS!! KNEE WRAPS ARE ALLOWED IN THE RAW DIVISION.

APA RULES WILL BE FOLLOWED. If you are not familiar with these rules, see

Weight Classes Men: 114, 123,132,148,165,181,198,220,242,275,308,341,SHW

Weight Classes Women: 97,105,114,123,132,148,165,181,198,SHW

Age Divisions: Open; Sub-Teen: 11-12; Teenager: 13-15,16-17,18-19; Junior:20-23; SubMaster: 33-39;

Master:40-44,45-49,50-54,55-59,60-64,65-69,70-74,75-79,80+

For additional information contact Meet Director, Rudy Kadlub at 503.314.8014 or e-mail:

Entry Form

Name______

E-Mail address______

Telephone Number

Mailing Address______

City______State______Zip______

Weight Class______Age Division______Birth Date______

CHECK appropriate: Full Power $85_____ Bench Only $65_____ Deadlift Only $65_____

Additional Age Divisions $30_____APA card $30____ H.S. or youth $15_____

Drug Tested_____ Non-tested_____

RAW_____ STD EQUIPPED_____ UNL EQUIPPED_____

Mail Application and make check payable to: Elite Performance Center 14350 SE Industrial Wy. Clackamas, OR 97015

Must be received by March 21st to avoid $15 late fee.

Disclaimer-Read Carefully

When you sign legal rights will be surrendered! I HEREBY, for myself and my heirs release any and all rights/claims for damages or injuries (including death) I may have against the American Powerlifting Association (APA), Elite Performance Center, LLC, Rudy Kadlub, Chris Duffin and any and all participating sponsors, supporters, referees, spotters-loaders, or any other authorized meet personnel or as a result of my traveling to, participating in, or traveling from this APA contest at Elite Performance Center on April 5, 2014. I make this release and waiver claim with full knowledge of the hazards and inherent risks associated with the above referenced contest.

Furthermore, I agree to pay any attorney fees and litigation expenses incurred by any person, real or corporate, whom I may sue in an effort to challenge this release from liability. I understand that my agreement to pay attorney fees and litigation expenses is the sine qua non for the acceptance of my entry for this contest.

Return signed Disclaimer with Entry Form to: Elite Performance Center, 14350 SE Industrial Wy. Clackamas, OR 97015

Read and Accepted this____day of ______, 2014

X

Parent or Guardian if athlete is 17 years of age or younger

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