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2008 APC NATIONALS ENTRY FORM

2008 APC NATIONALS

POWERLIFTING & BENCH PRESS

presented by BRUTE STRENGTH GYM

June 6, 7 and 8, 2008

Brute Strength Gym, 836 Poplar Hall Drive, Norfolk, Virginia 23502

757-893-9111

Name___________________________________________________________

Address__________________________________________________________

City _______________________State__________Zip______________________

Phone________________________________ Birth date____________________

Email____________________________________________________________

Check all appropriate categories in each column below:

__Powerlifting Meet

__Bench Meet

__Both Meets

__Team Entry

Team Name:
___________

___Open

___Junior 20-23

Teenage:
___13-15
___16-17
___18-19

___Sub-master 35-39

Master:

____40-44
____45-49
____50-54
____55-59
____60-64
____65-69
____70-74
____75-79
____80-84
____85-89

Weight Class: Women:

__44K
__48K
__52K
__56K
__60K
__67.5K
__75K
__82.5K
__90K
__90+K

 


Men:
___52K
___56K
___60K
___67.5K
___75K
___82.5K
___90K
___100K
___110K
___125K
___140K
 ___140+K

Release From Liability. Read this carefully.
By signing this you will be giving up important rights. In consideration of my acceptance of my entry form in this powerlifting/benchpress competition, I understand that I am legally bound for not only myself but also for my heirs, my executors, and my administrators. In signing this release from liability I waive and release L B Baker, IronDawg Power,  The American Powerlifitng Committee, Brute Strength Gym  and staff, all Officials, Referees, Spotter/Loaders and any other person or firm taking part in this competition from any and all liability which may arise from this competition. I understand all of the above for my acceptance of my entry in this competition. By signing this entry form I affirm that all the information on this form is correct.

Signature________________________________________________________    APC Card Number_______________

Parent or guardian if under 18________________________________________

24 hour weigh-in starts Thurday  at 10:00AM - 12:00 and 6:00PM - 8:00PM at Brute Strength Gym.

Contest starts at 10:00AM  Friday, June 6, 2008.

Entry fee: Powerlifting - $80.00 – Team entry - $50.00 – Benchpress- $70.00

Entry deadline May 15, 2008,  Late entry $50.00

Send money order  payable to Brute Strength Gym  and entry form to: Brute Strength Gym,
836 Poplar Hall Dr.; Norfolk,  VA 23502.

 Meet Director:  Gayle Schroeder; 757-650-5410; schroeder_gayle@yahoo.com

 

NOTE: 

All lifters must be or become member of APC.

APC [American Powerlifiting Committee]rules will be in effect.

For information on rules go to www.americanpowerliftingcommittee.com

ATHLETIC WAIVER MUST BE SIGNED

WAIVER AND APC MEMBERSHIP WILL BE AVAILABLE AT REGISTRATION

 

MEET HOTELS:

Double Tree Hotel

880 North Military Highway, Suite 35

Norfolk VA 23405

 

1-800-222-TREE (8733)

Single  $92.00  Deluxe level additional $10.00

Double $92.00  Premium level additional $20.00

Check in 3 PM   Check out  12 PM

 

To get special rate,  use event name   2008 APC Nationals.

Reservations must be made by May 5th, to get special meet rates.

 

Shuttle available to  and/or  from airport at no charge:  4:30 am to 11 pm.   Call  757- 461-9192  to alert driver of needed shuttle time.

 

Americas Best Value Inn

235 North Military Highway

Norfolk, VA 23502

 

$ 74.00 per room per night

Reservations must be made by  May 16 2008, to get special meet rates.

757- 461-6600

Reservations are  available at this special rate by using group name of AMERICAN POWERLIFTING COMMITTEE.

 

COMPLIMENTARY SHUTTLE SERVICE TO/FROM NORFOLK AIRPORT 6:30 AM - 9:30 PM.

 

The Grate Steak will be open. They offer the unique Grill your Own for dining in, but they also offer a comprehensive room service menu to our guests should they decide to dine in their rooms.   The Grate Steak would like to offer the APC lifters group a coupon, which will  be given at check-in at this hotel. This offer  will be good for a free appetizer with any dinner purchase that weekend.  All rooms come with complimentary continental breakfast; complimentary use of  the indoor and  outdoor swimming pools;  use of our hot tub and dry heat sauna.  All  rooms come equipped with complimentary Wireless High Speed Internet.

 

 

 

 

 

 

 

Gayle Schroeder strength@exis.net
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