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USAPL MEN’S TEEN, JR, & OPEN NATIONAL CHAMPIONSHIPS Presented by Titan Support Systems www.titansupport.com June 10, 2011 to June 12, 2011 Official IPF World Team Qualifier Location: St Stanislaus College 304 S Beach Blvd Bay St Louis, MS 39520 Eligibility Requirements: Each athlete must be a registered as a member of USA Powerlifting and meet the minimum qualifying total in a USAPL Championship during 2010 or 2011. (Membership Cards can be purchased at weigh-ins) 2011 Men's National Championships - Bay St. Louis, Mississippi – Preliminary Schedule Subject to change based on number of entries, competitors will be notified by email of changes THURSDAY, JUNE 09, 2011 2:00 - 6:00 pm - National Governing Body Meeting 6:00 - 7:00 pm - Early Registration & Equipment check: ( 114,123, 132, 148,165 and 181 lb weight classes only) FRIDAY, JUNE 10, 2011 Session I 7:00 - 8:30 am - Weigh-In/equipment check for the men's 114, 123, 132, and 148 lb weight classes 8:30 - 9:00 am - Warm-up for the men's 114, 123, 132 and 148 lb weight classes 9:00 - 1:00 pm - Competition lifting for the men's 114, 123, 132, and 148 lb weight classes 1:00 - 2:00 pm - Awards Presentation for the men's 114, 123, 132, and 148 lb weight classes Session II 12:00 - 1:30 pm - Weigh-In/equipment check for the men's 165 and 181 lb weight classes 1:30 - 2:00 pm - Warm-up for the men's 165 and 181 lb weight classes 2:00 - 5:00 pm - Competition lifting for the men's 165 and 181 lb weight classes 5:00 - 6:00 pm - Awards Presentation for the men's 165 and 181 lb weight classes 3:00 - 5:00 pm - Early Registration & Equipment Check [Men's 198 and 220 lb weight classes only] SATURDAY, JUNE 11, 2011 Session I 7:00 - 8:30 am - Weigh-In/equipment check for the men's 198 lb weight class 8:30 - 9:00 am - Warm-up for the men's 198 lb weight class 9:00 - 1:00 pm - Competition lifting for the men's 198 lb weight class 1:00 - 2:00 pm - Awards Presentation for the men's 198 lb weight class Session II 12:00 - 1:30 pm - Weigh-In/equipment check for the men's 220 lb weight class 1:30 - 2:00 pm - Warm-up for the men's 220 lb weight class 2:00 - 5:00 pm - Competition Lifting for the men's 220 lb weight class 5:00 - 6:00 pm - Awards Presentation for the men's 220 lb weight class 3:00 - 5:00 pm - Registration & Equipment Check [242, 275 and SHW weight classes] SUNDAY, JUNE 12, 2011 Session I 8:00 - 9:30 am - Weigh-In/equipment check for the men's 242 weight class 9:30 - 10:00 am - Warm-up for the men's 242 weight class 10:00 - 2:00 pm - Competition lifting for the men's 242 weight class 2:00 - 3:00 pm - Awards Presentation for the 242 weight class Session II 1:00 - 2:30 pm - Weigh-In/equipment check for the men's 275 and SHW weight classes 2:30 - 3:00 pm - Warm-up for the men's 275 and SHW weight classes 3:00 - 5:30 pm - Competition Lifting for the men's 275 and SHW weight classes 5:30 - 6:00 pm - Awards Presentation for the men's 275 and SHW weight classes USAPL MEN’S TEEN, JR, & OPEN NATIONAL CHAMPIONSHIPS Presented by Titan Support Systems www.titansupport.com June 10, 2011 to June 12, 2011 Official IPF World Team Qualifier Weight Classes: 114 lb/ 52 kg (TEEN, JR ONLY), 123lb/56kg, 132lb/60kg, 148lb/67.50, 165lb/75kg, 181lb/82.5kg, 198lb/90kg, 220lb/100kg, 242lb/110kg, 275lb/125kg and 275+lb/125+kg Divisions: T1 (14-15), T2 (16-17), T3 (18-19), JUNIOR (20-23) & OPEN Awards: Awards will be presented to the 1st – 5th place finishers for each weight class and division. Outstanding lifter awards will be presented to the best lifter in each of the following categories: Teen, JR and Open. The overall best lifter award for each category will be determined by the Wilks Formula. Team awards will be presented for 1st – 3rd place. Technical Rules: This competition is USAPL sanctioned and all IPF rules will be followed. The technical rules can be found at the following link: www.usapowerlifting.com/committees/technical Additional questions regarding the Technical Rules, please contact the Technical Secretary for the Championship, Robert Keller at: email@example.com World Wide Web: Contest information, updates, nominations, etc. will be made available on the following web-page, which can be found at the following: www.usaplnationals.com/2011 Hotel Arrangements & Transportation Information The Best Western Seaway Inn of Gulfport, along with its two adjacent properties will serve as the host hotel for this championship. Information about all three hotels are available on the championships website. Please make your hotel reservations early by NLT May 1, 2011 to receive the group rate of $99.00 per night + tax. Group Code: USA POWERLIFTING Airport Shuttle/Transport to the Hotel/Venue Best Western Gulfport has a complimentary shuttle to and from the airport that runs on demand, simply call (228) 864-0050 upon arrival. Due to this meet being offsite from the meet hotel, we are providing a shuttle that runs once an hour from 7AM-7PM from the hotel to the venue, and back. Please notify us via the checklist below if how you will reach the venue so we can adjust for the correct capacity on the shuttle. Spectators/T-shirts/Tickets All spectators and coaches may enjoy the competition for an admission fee of $5.00 per day or $10 for the weekend. T-shirts will be available for a fee of $15.00 (small to xlarge) and $20.00 for 2XL and above. Two  coaching passes will be provided for each team entry received. USAPL MEN’S TEEN, JR, & OPEN NATIONAL CHAMPIONSHIPS Presented by Titan Support Systems www.titansupport.com June 10, 2011 to June 12, 2011 Official IPF World Team Qualifier Name_________________________________________________ E-mail: ____________________ (Please print E-mail clearly) Address: _________________________________________________________________________ City: __________________________________ State: ___________________ Zip Code: ________ Day Telephone: ( ) __________________ Evening Telephone: ( ) ______________________ USAPL Membership Card #: _______ Expiration Date: ________ Team ___________________ (Can be purchased at the contest) Qualifying Meet: _____________________________ Date: ______________Total:____________ RELEASE FROM LIABILITY AND CONSENT TO DRUG TEST: Read this carefully (When you sign it you will be giving up important legal rights) In consideration of the acceptance of my Entry Form in this Powerlifting Competition I intend to be 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 everyone connected with this competition from any and all liability, including any result of negligence, which may arise from this competition. Moreover, I agree that any testing method, which the meet directors and the sponsors of this meet use to detect the presence of strength inducing drugs, SHALL BE CONCLUSIVE. This is, whether I think the results of the test are right or wrong, I agree that I have no right to challenge the results of the drug tests. I further agree to submit to any physical test, which may be necessary to complete the drug testing. Should I fail to pass the drug tests I agree to forfeit any trophy or award, which I might otherwise have won. I understand and agree that if I fail to pass the drug tests, my name will appear on a published list of suspended members. If it is determined that I have failed the drug test, I agree to waive any claim for which legal relief is available. I agree to pay any attorney fee and litigation expenses by any person, real or corporate, which I may sue in an effort to challenge this release from liability form. I understand that my agreement to pay attorney fees and litigation expenses is the SINE QUA NON for acceptance of my entry in this contest. If any provision of this Release from Liability shall be deemed by a court of competent jurisdiction to be invalid, the remainder of this Release from Liability shall remain in force and effect. I also certify with my signature that this release/agreement cannot be modified orally. Signature of lifter Date Check the Divisions you will be lifting in: Teen 1 (14-15) Junior (20-23)] Teen 2 (16-17) Open Teen 3 (18-19) Please inform us of your travel plans: I will be flying in and will depend on a shuttle to get me to and from the venue *note-the shuttle will ONLY run from the hotel to the venue and vice versa once an hour from 7A- 7P* I will be flying in, but renting my own car and won’t need shuttle service I have my own transportation to/from the venue and won’t need shuttle service Please specify the following - Weight Class: ______Age: ____ Date of Birth: ______ PLEASE SPECIFY T-Shirt SIZE(s): S M L XL 2XL 3XL 4XL 5XL ENTRY FEE (S): _____$65.00 – Powerlifting Competition _____$65.00 – Team Entry Fee (see reverse side of this form) _____$15.00 – Official Championship T-shirt [Small to XL] / Size Requested_____ _____$20.00 – Official Championship T-shirt [2XL to 5XL] / Size Requested _____ _____$50.00 – Late Fee / Entry Post-marked AFTER May 13, 2011 _____ $20.00- Additional Division (Teen/Open, Junior/Open) ____ $5.00 or $10.00 for WKEND – Ticket cost for each spectator and coach, per day _____$ Total Amount Submitted Important Note: Late fee of $50.00 will be assessed if your entry is post-marked after May 13, 2011. No Refunds Granted for any reason. If your entry is going to be late you must contact the meet director. CHECK OR MONEY ORDERS PAYABLE AND MAILED TO THE FOLLOWING: Jim Battenfield P.O. Box 1406 Brandon, MS 39043 (601) 665-7783, firstname.lastname@example.org USAPL MEN’S TEEN, JR, & OPEN NATIONAL CHAMPIONSHIPS Presented by Titan Support Systems www.titansupport.com June 10, 2011 to June 12, 2011 Official IPF World Team Qualifier FULL TEAM NAME: ______________________________________________________________________ HEADCOACH: ____________________________________E-MAIL: ____________________________ PHONE: _________________USAPL Team Registration Number: ________Expiration: ____________ TEEN COMBINED (at least 3 JR’s and 3 Teens) JUNIOR OPEN TEAM ENTRY FEE Team entry fee is $65.00. Each team member must fully complete an individual entry form and forward the appropriate entry fees in order to be registered with a team for the competition. TEAM ROSTER No . Lifter Weight Class USAPL Card #: 1 2 3 4 5 6 7 8 9 10 ALTERNATES 1 2 TEAM SCORING Each team is allowed a maximum of 10 lifters spread throughout the range of the 10-bodyweight categories with no more than 2 in any one weight class. Each team is allowed a maximum of 2 alternates. Alternates may be substituted at any time prior to the commencement of the championship. Team scoring will be calculated in accordance with USAPL/IPF rules. All Teams must be registered with USA powerlifting via a USAPL Club Membership Application. ALL FINALIZED TEAM ROSTERS MUST BE RECEIVED BY 5PM ON THURS. JUNE 9th.
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