King of the Bench

BENCH PRESS ONLY

Presented by Elite Sculptures

DATE: SATURDAY Feb 16th 2012 TIME: 10:30 AM RULES BRIEFING:10:00AM

PLACE:AMERICAN FITNESS, 48 BRIDGE STEET NASHUA NH. 03060

WEIGH INS: FRI. from 5:30 pm - 6:15 pm SAT. 8:00 am - 9:30am MEET STARTS 10:30AM

SANCTION: ELITE POWERLIFTING FEDERATION

UNIFORM: WRESTLING SINGLET OR SPANDEX SHORTS/PANTS ANDT-SHIRT. NO OTHER UNIFORM WILL BE ACCEPTED

NO LOOSE OR BAGGY CLOTHES. IF YOU ARE OUT OF UNIFORM YOU WILL NOT LIFT!!

All bench shirts are allowedin the equipped division.

(BE PREPARED!!!) ELIGIBILITY: Open to any athlete 13 years or older

MEET DIRECTOR: BILL DURANT 603-762-3990 or

**** LATE ENTRYFEE AFTERFEB6THADD $20.00 NOEXCEPTION!! ****

ENTRY FEES:1 Division $60.00 2Division $100.003 Divisions $130.00

SPECTATOR FEE:ADULTS $7.00 12 and under FREE at the door.

LIFTS CONTESTED:Bench Press

Awards- Top 5 places per class DIVISIONS Awards -Top 5 places per class

MENS CLASSES: OPEN,114.5, 123.25, 132.25, 148.75, 165.25, 181.75, 198.25, 220.25, 242.5, 275.5, 308.5, SUPERS.

NOVICE MEN TEEN MEN (13 – 15) TEEN MEN (16-17) TEEN MEN (18-19) JUNIOR MEN.(20-23)

MENS SUBMASTER: (33 - 39 ) MENS MASTER: (40-44) (45-49) (50-54) (55-59) (60-64 ) (65-69 ) (70 PLUS )

WOMENS OPEN: 97, 105, 114.5, 123.25, 132.25, 148.75, 165.25, 181.75, 198.25, Unl. JR WOMEN: (13 - 23 ) MASTER WOMEN: (40- PLUS)

TOP 5 BY FORMULA INCLUDE NOVICE, TEEN, JR, SUB MASTER & ,MASTER

SEND ENTRY FORM & MAKE MONEY ORDER PAYABLETO E.P.F. POBOX 139 KEENE, NH. 03431

TELEPHONE (603) 762 - 3990 Preferred contact is email first

( MONEY ORDERS ONLY)

DETACH HERE

**** LATE ENTRIES AFTER 2/06/2012“add” $20.00 ****

*** CHECK YOUR DIVISION(S) ***

______RAW or ______BENCH SHIRT
TEEN MEN JR MEN 20 - 23 OPEN MEN SUB MEN 33 - 39 MASTER MEN ____
JR WOMEN 13 - 23 OPEN WOMEN MASTER WOMEN____
THIS IS A SEPARATE CONTEST FROM THE PUSH PULL

You’re acceptance of this entry; I hereby intend to be legally bound for my self, my heirs, executors and or administratorswaive and release any and all rights and claim from damages I may have against American Fitness,the EPF, Bill Durant,his agents, representatives & assigns for any and all injuries at said“King of the Bench”and traveling to and fromthis contest.

NAME: __ DATE OF BIRTH: AGE ______SEX: BODY WEIGHT: ______(Best guess)

MAILING ADDRESS: ______CITY:______STATE:______

ZIP CODE:______PHONE: ______

(ALL ENTRIES MUST BE COMPLETED TO ENTER) SIGNATURE______

Lifter (PARENT OR GUARDIAN IF UNDER 18)

EMAIL______

This is how we will inform you of changes in this contest.NO SPAM we promise!