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Lakeside Academy Barbell Club
Presents
The Clash of the Titans
Date: August 28th, 2010
Location: 3921 Oakland Drive
Kalamazoo, MI 49008
Entry Fee: $50 for first division
$20 for additional division
Please make checks/money orders out to: Lakeside Academy
Meet Director: Will Cowen wcowen@lakesideacademy.net 269-808-5339
Entry Dead Line: August 10th, 2009 to guarantee an award
NO ENTRIES ACCEPTED AFTER AUGUST 18th
A minimum of 10% Drug Testing via Urinalysis
Rules & Eligibility: This meet is sanctioned by USAPL. All lifters must be registered with
USA Powerlifting. Membership cards will be available at the meet (Adults $40, teens $30). All
athletes will comply with USAPL rules for equipment and lifting on the platform.
Important Times: Equipment check and weigh in: 7:00-8:30AM
Rules Meeting: 8:30 AM
Lifting begins: 9:00AM
Divisions & Awards: Raw & Equipped Divisions Bench Only and Full Meet
Men’s: (114, 123, 132, 148, 165, 181,198, 220, 242, 275, SHW)
Teens: 1st - 3rd (each weight class) ages: All divisions
Juniors: 1st - 3rd (each weight class) ages: 20-23
Open: 1st - 3rd (each weight class) ages: 24-39
Masters: 1st - 3rd (each weight class) ages: All Divisions
Women’s: (97, 105, 114, 123, 132, 148, 165, 181, 198+)
Teens, Juniors, Open & Masters
Best Lifter Awards: Mens: Open and Masters
Womens: Open and Masters
Teen: 14-16 and 17-19
There will be concession stand available throughout the day.
Entry Form (Please Print or Type)
Name: __________________________________ Age: ______ Sex: Male Female
Address: ________________________________________________________________
Street City State Zip code
Phone: __________________ E-mail: ___________________________________
Weight Class: _______ USAPL #: _______ (memberships available at meet)
Check Division(s) Entered: Teen: 14-15( ) Teen:16-17( ) Teen:18-19( ) Junior: 20-23 ( ) Open: All Ages ( )
Masters:( )40-44 ( )45-49 ( )50-54 ( )55-59 ( )60-64 ( )65-69 ( )70+
Check Event(s) Entered: _____ Bench Only _____ Full Meet ______Raw ______Equipped
Release from Liability
Read this carefully. When you sign it, you will be giving up important legal rights.
In consideration of the acceptance of my entry blank 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 results of negligence, which may arise from this competition.
Moreover, I agree that any testing method which the meet director and the sponsors of this meet use to detect
the presence of strength inducing drugs SHALL BE CONCLUSIVE. That 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 test. I further agree to
submit to any physical tests, which may be necessary to complete the drug testing. Should I fail to pass the
drug test, I agree to forfeit any trophy or award, which I might otherwise have won. I understand and agree
that if I fail to pass a drug test, 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 incurred by any person, real or cooperate, whom 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 the acceptance of my entry into 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 full force and effect. I also certify with my signature
that this Release/agreement cannot be modified orally.
____________________________________ ____________________________________
Signature in full of Applicant Signature in full of parent or guardian if applicant is under
the age of 18 years
I herby give my word of honor as an athlete that I have not used any strength-inducing drugs (i.e., any
anabolic steroid, natural hormone or synthetic growth hormone) as part of my training during the past thirty-
six (36) months, nor have I used prescription diuretics or psychomotor stimulants during the seven (7) days
prior to this meet.
____________________________________ (Signature in full of the applicant)
Entry Form (Please Print or Type)
Name: __________________________________ Age: ______ Sex: Male Female
Address: ________________________________________________________________
Street City State Zip code
Phone: __________________ E-mail: ___________________________________
Weight Class: _____________ USAPL #: _____________ (memberships available at meet)
Check Division(s) Entered: Teen: ( ) 14-19 Junior:( ) 20-23 Open:( ) All Ages
Masters:( )40-44 ( )45-49 ( )50-54 ( )55-59 ( )60-64 ( )65-69 ( )70+
Check Event(s) Entered: _____ Bench Only _____ Full Meet _______Ironman
Release from Liability
Read this carefully. When you sign it, you will be giving up important legal rights.
In consideration of the acceptance of my entry blank 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 results of negligence, which may arise from this competition.
Moreover, I agree that any testing method which the meet director and the sponsors of this meet use to detect
the presence of strength inducing drugs SHALL BE CONCLUSIVE. That 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 test. I further agree to
submit to any physical tests, which may be necessary to complete the drug testing. Should I fail to pass the
drug test, I agree to forfeit any trophy or award, which I might otherwise have won. I understand and agree
that if I fail to pass a drug test, 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 incurred by any person, real or cooperate, whom 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 the acceptance of my entry into 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 full force and effect. I also certify with my signature
that this Release/agreement cannot be modified orally.
____________________________________ ____________________________________
Signature in full of Applicant Signature in full of parent or guardian if applicant is under
the age of 18 years
I herby give my word of honor as an athlete that I have not used any strength-inducing drugs (i.e., any
anabolic steroid, natural hormone or synthetic growth hormone) as part of my training during the past thirty-
six (36) months, nor have I used prescription diuretics or psychomotor stimulants during the seven (7) days
prior to this meet.
____________________________________ (Signature in full of the applicant)
