United States Strongman, Inc. Contest Entry Form
North Carolina Viking Showdown hosted by Clayton Fitness
Contest Director: Chris Kauffman
Contact: , 910-393-9632, or call Clayton Fitness 919-359-6060
Date & Time: September 17th, 10:00 a.m.
Weigh-in: 24 hr. weigh in, beginning at 10:00 a.m., September 16th, at Clayton Fitness
Location: Clayton Fitness 1370 Cameron Way, Clayton, NC 27520
Hotel: Several within 10-15 minutes (google is your friend)
Divisions: WLW <132 WMW <165 WHW <198 WSHW 199+ MLW <181 MMW <220 MHW <275 MSHW 276+
Also Master’s Open and Novice Open for each gender. Novice will compete at LW weights, Masters will compete at MW weights.
Events: Crucifix Hold, Timber Frame Carry, Last Man Standing DL, Viking Press for Reps, Conan’s Wheel
Awards: Viking Axe or Thor’s Hammer for winners, medallions for 2nd and 3rd place finishers.
Entry Fees: $60
Entry Deadline: August 19th, a late fee of $15 will be enforced for late entry
Mail Entries & Fees: Clayton Fitness 1370 Cameron Way, Clayton, NC 27520. (there will also be an electronic pay-pal link for this show)
In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors and administrators, and my assignees, waive and release all rights and damages I may have against United States Strongman, Inc., Willie Wessels,any and all sponsors of the event, their representatives and assigns, for any and all injuries incurred by me in conjunction with these championships and in traveling to and from the event. And in further consideration of permission being granted to me to participate in the United States Strongman, Inc. CONTEST and its related events, I hereby grant United States Strongman, Inc., and/or any other approved video or entertainment organization and all of their agents, successors, licensees and assigns, the right to photograph or otherwise reproduce (whether by film, tape, still photography or otherwise) my voice, appearance and name, and to exhibit, distribute, transmit, and/or otherwise exploit any and all media, including without limitation, by means of still photography, motion pictures, radio, television, television motion pictures, video, printing or any other medium now known or hereafter devised, including with respect also to any merchandising, advertising and/or publicity, and the right to use my name and information about me in any connection with any of the foregoing. The rights granted by me hereunder are granted for the entire universe and shall endure in perpetuity and no further compensation shall be payable to me at anytime in connection therewith. Nothing contained herein shall be deemed to obligate United States Strongman, Inc., and/or any other approved video or entertainment organization, to photograph or otherwise reproduce my voice, appearance or name, or to make use of any rights granted herein. I also understand that the aforementioned rights may be reassigned at any time without further consent. I understand that United States Strongman, Inc. and/or any other approved video or entertainment organization, are videotaping and photographing the Event in express reliance upon the foregoing, and I represent and agree that I am free to grant the rights granted to United States Strongman, Inc.. and/or any other approved video or entertainment organization hereunder. Therefore I affix my signature below:
Name:______Age:______
Address:______
City:______State:______Zip Code:______
Phone:______Age:______Date of Birth:______
Email:______
Division:______Weight Class: ______Height:______Gym:______
Div. Cruc Hold Timber Frame DL Opener Viking Press Conan’s Wheel
WNOV WLW 20 250 155 125 250
WMAS WMW 20 300 185 150 300
WHW 20 350 225 175 350
WSHW 20 400 275 200 400
MNOV MLW 30 550 365 225 550
MMAS MMW 30 600 405 255 600
MHW 30 650 455 280 650
MSHW 30 700 495 310 700
Rules:
Crucifix Hold: Contestant will hold either Viking Axes or weighted “hammers” laterally, arms at 90 degrees. Once the weight drops past two inches below 90 degrees, time will stop.
Timber Frame Carry: It’s a race. Contestants will be allowed to set their grip, given a ready signal, then a go. Race will be 60 feet, unlimited drops, fastest time wins. 60 second time limit.
Last Man Standing DL: Just like it sounds, the last man (or woman) standing wins. Each contestant will have to lift the opening weight, and then elect to pass or lift on each ensuing weight. Weights will jump #20 for women, and #40 for men. Last man (or woman) standing may call their weight, to establish a State Record.
Viking Press: Contestant will begin in a “rack” position, with weight standard off of the ground, and then have 60 seconds to perform as many reps as possible with their given weight.
Conan’s Wheel: Contestant will pick up the bar in a “Zercher” style, give a nod, then be given the “go”. Contestant will have 60 seconds to carry the load as far as possible, unlimited drops.