2005 NATIONAL JUNIOR WEIGHTLIFTING CHAMPIONSHIPS

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							                2010 USA WEIGHTLIFTING NATIONAL CHAMPIONSHIPS
                     GENERAL INFORMATION & PARTICIPATION CONTRACT
                                    June 11-13, 2010

Competition Venue:        Peoria Civic Center

                          201 SW Jefferson Ave
                          Peoria, IL 61602
                          Venue Phone: (309) 673-8900
                          Website: www.peoriaciviccenter.com
                          NOTE: THERE WILL BE A DAILY PARKING FEE
                          AT THE VENUE

Hotel:                    Holiday Inn City Centre
                          500 Hamilton Blvd
                          Peoria, IL 61602
                          Phone: (309) 674-2500

SANCTION NUMBER:          60-10-03

SANCTIONED BY:            USA Weightlifting

SPONSORED BY:             Peoria Area Convention and Visitor Bureau
                          456 Fulton Street
                          Suite 300
                          Peoria, IL 61602
                          Website: www.peoria.org
                          Phone: (309) 282-3283
                          cmentzer@peoria.org

ORGANIZING COMMITTEE:     Marty Schnorf (217) 258-6588, Chad Mentzer, USA Weightlifting: Rick Adams, Mike
                          Gattone, and Laurie Lopez (719) 866-4508

ENTRY FEES:               Individual - $50.00 (NON REFUNDABLE)
                          Each Team - $75.00 (NON REFUNDABLE)

CHECKS PAYABLE TO:        USA WEIGHTLIFTING

MAIL TO:                  USA WEIGHTLIFTING
                          1 OLYMPIC PLAZA
                          COLORADO SPRINGS, CO 80909
                          Telephone: 719/866-4508
                          Website: http://weightlifting.teamusa.org
                          E-Mail: usaw@usaweightlifting.org
                          Fax: 719/866-4741

ENTRY DEADLINE:           Entries must be postmarked no later than Thursday, May 20th, 2010!
                          On-line entries must be received before midnight MST on May 20th, 2010!
                          After midnight, the on-line registration system will not allow you to enter the
                          competition. Athletes are encouraged to register online as you will receive an email
                          confirming your registration.

                          Please note that the entry deadline and the qualifying deadline are different.
                          Qualifying period - Saturday, May 16th, 2009- Tuesday, May 18th, 2010.

                          ABSOLUTELY NO LATE OR INCOMPLETE ENTRIES WILL BE ACCEPTED!

         ENTRY FEE PAYMENT MUST ACCOMPANY THE ENTRY FORM. IF FAXING YOUR ENTRY, CREDIT CARD
         NUMBER MUST BE INCLUDED OR ENTRY IS INCOMPLETE. FAXES MUST BE RECEIVED ON OR
         BEFORE ENTRY DEADLINE.


                                                                                                        1
PROOF OF ENTRY: In the event of a claim that the entry form was lost in the mail, athletes and/or coaches must
have proof of having mailed the Entry Form to USA Weightlifting. Mail entry forms certified (PS Form 3800) and
return receipt (PS Form 3811). You may also enclose a self-addressed, postage paid postcard for confirmation. If
USA Weightlifting does not receive an Entry Form and the athlete does not have Return Receipt as proof of mailing,
the athlete will not be permitted to compete. In the event an entry was faxed but not received by the National Office,
the athlete must be able to show a fax verification page with a visual image of the entry form and the date it was
faxed, as proof that it was faxed by the deadline. If athlete cannot show the visual image of the entry form on the fax
verification page, with the date it was faxed, the athlete will not be permitted to compete.

ELIGIBILITY: All USA Weightlifting registered athletes who have met all of the following criteria:
1. Have posted the minimum-qualifying total at a USA Weightlifting sanctioned competition between
   Saturday, May 16th, 2009- Tuesday, May 18th, 2010.
2. Athletes must be U.S. citizens to participate and may be required to provide proof of citizenship.
3. Athlete must be a CURRENTLY-registered member in good standing with USA Weightlifting at the time of
registration and at the competition. Retired athletes must call USADA and National Office to check on
eligibility status!

PROOF OF USA WEIGHTLIFTING REGISTRATION AND AGE REQUIRED AT WEIGH IN:
All participants are REQUIRED at weigh-in to produce GOVERNMENT DOCUMENT (i.e. birth certificate or driver’s
license, etc), a PICTURE ID (for those 16 and older) and a current USA WEIGHTLIFTING MEMBERSHIP CARD.

DOPING CONTROL: Formal drug testing of participants will be in effect. Upon entering the National Weightlifting
Championships, the athlete agrees to be subject to the drug control process.

WEIGH INS: All weigh-ins will be done at the venue, Peoria Civic Center. Weight checks will be available starting at
5:00 pm on Thursday, June 10, 2010 at the venue and at the Holiday Inn City Centre. A sauna will be available at the
Holiday Inn City Centre.

AWARDS: Medals to top 3 in each class for snatch, clean and jerk and total. Best Lifter Award for the top male and
female lifter.

TEAM AWARDS: Three team awards for both men and women. Team points based on USA Weightlifting rules and
will be in snatch, clean & jerk and total.
1st place =12 points, 2ND=9, 3RD=8, 4TH=7, 5TH=6, 6TH=5, 7TH=4, 8TH=3, 9TH=2, 10TH=1.
**********************************************************************************************
                              2010 NATIONAL WEIGHTLIFTING CHAMPIONSHIPS
                                               MEETINGS INFORMATION
                                         (All meetings at Holiday Inn City Centre)


VERIFICATION of FINAL ENTRIES:                 Thursday, June 10th    5:30 PM – 6:00 PM

TECHNICAL CONFERENCE:                          Thursday, June 10th    8:00 PM

**Anyone who does not attend the Technical Conference agrees to accept all decisions made at the
Technical Conference. **




                                                                                                              2
       VERIFICATION OF FINAL ENTRIES: Thursday, June 10th 5:30 – 6:00 PM

The Entry Form you submit to the USA Weightlifting office by the entry deadline is your official entry
to the competition. The Qualifying Total you declare on that entry form is verified by the National
Office. You are permitted to move up or down to a higher bodyweight category or lower
bodyweight category if and only if you, or your agent, submit this request in writing to the
National Office or the Competition Secretary before or during the Verification of Final
entries meeting which will be June 10th 5:30 PM-6:00 PM.

If an athlete declares they will compete in a higher bodyweight category, they must also adhere to a
“Minimum Starting Attempts Total” requirement. The “Minimum Starting Attempts Total” requirement
for men in the USA Weightlifting National Championships is 20 kg below the Qualifying Total for the
bodyweight category.

The “Minimum Starting Attempts Total” for women in the USA Weightlifting National Championships is
15 kg below the Qualifying Total for the bodyweight category.

The “Starting Attempts Total” is the athlete’s first snatch plus their first clean and jerk. You can select
whatever first attempt snatch you want, but your first attempt clean and jerk must be high enough so
that these two starting attempts add up to the Minimum Starting Attempts Total for that bodyweight
category.

For example, if a 58 kg lifter at the USA Weightlifting National Championships moves up to the 63 kg
category, their “Minimum Starting Attempts Total” is 15 kg below the 63 kg Qualifying Total of 145
kg. Therefore, to move up to the 63 kg category, her first snatch attempt plus her first clean & jerk
attempt must total at least 130 kg.

Likewise, a 62 kg athlete who moves up to the 69 kg category will have a “Minimum Starting Attempts
Total” of 20 kg below the Qualifying Total for the 69 kg category of 220 kg. His first snatch attempt
plus his first clean and jerk attempt must total at least 200 kg.

*** Also note that the FINAL TEAM ROSTERS have to be submitted to the Competition Secretary in
writing during the Verification of Final Entries meeting, which will be June 10th at 5:30 PM.

*** Whatever is declared on the Entry Form sent to the National Office will be used to assign athletes
to bodyweight categories and to teams, unless a change is declared in writing during the Verification
of Final Entries meeting.

TECHNICAL CONFERENCE: Thursday, June 10 at 8:00 PM
Anyone who does not attend the Technical Conference agrees to accept all decisions made at the
Technical Conference. The Final Start List will become available during or shortly after this meeting
and any changes to the lifting schedule will be announced. A preliminary list of participants (subject to
change) based on number of entries received, will available via http://weightlifting.teamusa.org prior
to the competition.

RULES CLINIC AND REFEREE TESTING: A referee clinic will be given Thursday, June 10
from 4:30 – 6:30 pm.
A written test will be given from 6:30 – 7:30 pm. A limited number first come first served
practical tests for National and IWF referees will be given. See qualifications and application at
http://weightlifting.teamusa.org/pages/1439

Tickets: Official participants in the competition and two of their coaches will receive lanyards and a
Accreditation Badge that will permit them to view the competition and to attend their official activities.
All official participants, including coaches and referees, must be current members of USA
Weightlifting.
Admission for spectators is as follows: $10 per day per adult (14 and over)
                                           $5 per day per child (13 and under)
                                           $5 per day per senior (65 and over)
                            Multi-Day Pass $20 adults
                            Multi-Day Pass $10 seniors and children


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                              2010 USA WEIGHTLIFTING NATIONAL CHAMPIONSHIPS
                                    TENTATIVE DATE and TIME SCHEDULE OF COMPETITION
         Daily weigh-in and lifting schedule are subject to change. Changes, if needed, will be announced at the
        TECHNICAL Conference on Thursday, June 10th, 8:00P.M. local time. No weight class changes between days will
        occur. The only changes that may occur will be the actual weigh-in and lifting times. If a lifter fails to make
        weight, they will not be allowed to participate in the event. THERE WILL BE NO EXTRA LIFTERS. This will be a one-
        platform competition.

FRIDAY June 11, 2010                                                                  CENTRAL DAYLIGHT TIME
                                                                                  #
SESSION           GENDER              CATEGORY             Q-TOTAL              ATHLETES    WEIGH IN      LIFT

1                 MEN                 56/62 KG             155/182 KG           TBD                 7:00 AM              9:00 AM

2                 WOMEN               48 KG                98 KG                TBD                 9:00 AM              11:00 AM

3                 WOMEN               53 KG                119 KG               TBD                 11:00 AM             1:00 PM

4                 WOMEN               58 KG                129 KG               TBD                 1:00 PM              3:00 PM

5                 MEN                 69 KG                215 KG               TBD                 3:00 PM              5:00 PM



SATURDAY June 12, 2010                                                                              CENTRAL DAYLIGHT TIME

7                 MEN                 77/85/94 B*          244/258/283          TBD                 7:00 AM              9:00 AM

8                 WOMEN               63 KG                137 KG               TBD                 9:00 AM              11:00 AM

9                 Men                 77 KG A              244 KG               TBD                 11:00 AM             1:00 PM

10                WOMEN               69 KG                141 KG               TBD                 1:00 PM              3:00 PM

11                MEN                 85 A                 258                  TBD                 3:00 PM              5:00 PM

12                MEN                 94 KG A              283 KG               TBD                 5:00 PM              7:00 PM


SUNDAY June 13, 2010                                                                      CENTRAL DAYLIGHT TIME

13                WOMEN               75 KG                149 KG               TBD                 7:00 AM              9:00 AM

14                MEN                 105 KG               285 KG               TBD                 9:00 AM              11:00 AM

15                WOMEN               75+ KG               160 KG               TBD                 11:00 AM             1:00 PM

16                MEN                 105+ KG              293 KG               TBD                 1:00 PM              3:00 PM

* If needed


        In order to compete at the USAW National Championships, each athlete must adhere to certain minimum requirements for their
        first snatch attempt and their first clean and jerk attempt. The Total of these two first attempts (first snatch and first clean and
        jerk) is referred to as the “Minimum Starting Attempts Total”.
        A] The Minimum Starting Attempts Total for each bodyweight category will be posted on the Entry Form for each USAW National
        Championships and each USAW National Junior Championships. For men, the Minimum Starting Attempts Total will be 20 kilograms
        below the Qualifying Total for the bodyweight category. For women, the Minimum Starting Attempts Total will be 15 kilograms
        below the Qualifying Total for the bodyweight category.
        B] To satisfy the Minimum Starting Attempts Total criteria, the athlete’s first attempt in the snatch plus their first attempt in the
        clean and jerk must add up to no less than the Minimum Starting Attempts Total for the bodyweight category. (Successful lifts on
        second or third attempts are irrelevant to satisfying the Minimum Starting Attempts Total.)
        C] During the weight in, the athlete or coach declares the first attempt in the snatch and the first attempt in the clean and jerk.
        Those declarations can be changed, but under no circumstance will an athlete be allowed to start the clean and jerk competition
        unless the first attempt in the clean and jerk satisfies the Minimum Starting Attempts Total.
        D] This Minimum Starting Attempts Total requirement applies to all athletes in the USAW National Championships and the USAW
        National Junior Championships, regardless of whether or not they have moved up from the bodyweight category listed on their
        Entry Form.




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                                    2010 USA WEIGHTLIFTING NATIONAL CHAMPIONSHIPS
                                                OFFICIAL ENTRY FORM

RETURN ENTRY TO:                    USA Weightlifting
                                    1 Olympic Plaza
                                    Colorado Springs, CO 80909

ENTRY DEADLINE:                     Postmarked no later than Thursday May 20th, 2010 - NO LATE or INCOMPLETE ENTRIES

ENTRY FEES:                         Individual - $50.00 (NON REFUNDABLE)
                                    Each Team - $75.00 (NON REFUNDABLE)

MAKE CHECK PAYABLE TO:              USA WEIGHTLIFTING (or pay via credit card)

Please enter me in the 2010 USA Weightlifting National Championships to be held on June 11-13, 2010 at the Peoria Civic Center,
Peoria, IL. I certify that I am an amateur in good standing. In consideration of my entry in the competition, I do hereby waive, and
release USA Weightlifting, Peoria Civic Center, Holiday Inn City Centre, Peoria Area Convention and Visitors Bureau and their
respective directors, officers, officials, agents, employees, assigns, partners, representatives and competition personnel, hereinafter
known as the "Organizers," from any and all causes of action, loss, liability, claims and demands of every kind and nature, which I or
my heirs or personal representatives may have for bodily injury, for expenses of medical treatment, hospitalization, and other care
rendered to me in the event of my injury or illness, or for any and all other costs, damages or loses suffered or incurred by me or
occasioned to me in connection with my travel to and from, and my participation in, the competition and related activities, except
that the forgoing waiver and release shall not apply to injuries, damages, and losses resulting from the gross negligence and/or
wanton misconduct of the Organizers or to bodily injuries and medical expenses covered by accidental death, dismemberment and/or
loss of sight and medical reimbursement insurance policies maintained by the Organizers.

I agree to be filmed and photographed under conditions approved and authorized by the USA Weightlifting, to include the use of my
name, biographical information, public appearances, interviews, photographs, portrait and motion pictures and television recordings
of my weightlifting performance and grant to USA Weightlifting and Organizers the right to record and make use of the same, and to
authorize others to do so in promoting the competition and the success of the weightlifting team on which I compete, to promote the
image of USA Weightlifting, the Organizers, their sponsors and advertisers, and the sport of amateur weightlifting, and to fund the
activities of the USA Weightlifting.

I (and my parent or guardian, if I am a minor), agree that the Organizers and their agents, including competition personnel, may
make judgments (with appropriate input from available medical personnel), as to my treatment, hospitalization or other medical care
in the event of my illness or accidental injury in connection with my participation in the competition, should I be disabled or
incompetent to make necessary and appropriate decisions concerning such treatment, hospitalization or other care. I authorize the
Organizers, their agents and competition personnel to make such decisions for me as though they stood in a relationship to me of
parent, guardian or next of kin should circumstances require the Organizers, their agents and competition personnel to make such
judgments, and my next of kin cannot be timely and conveniently contacted to participate in the making of such judgments.

I hereby release and agree to hold the Organizers, their agents and competition personnel harmless from all expenses, causes of
action, liability, claims and demands arising from good faith judgments made by the Organizers, their agents and competition
personnel concerning my treatment, hospitalization and medical care in the event of my illness, injury or other emergent
circumstances in connection with the competition.

I (and my parent or guardian, if I am a minor), agree that I will be financially responsible for treatment, hospitalization and other
medical care rendered to me in the event of my illness, injury or other emergency circumstances in connection with the competition,
except to the extent my injuries and medical expenses, if any, are covered by accidental death, dismemberment and/or loss of sight
and medical reimbursement insurance policies maintained by the Organizers for my benefit, in which event I will nevertheless
continue to be financially responsible for expenses of treatment, hospitalization and other medical care in excess of such policies'
limits

I understand the above requirements and releases:     ____________________________________              ____________________
                                                                  (athlete signature)                            (date)
ATHLETES UNDER 18 YEARS OF AGE MUST HAVE THE FOLLOWING SECTION COMPLETED BY A PARENT OR GUARDIAN

I have explained to my son/daughter the aforementioned releases and conditions and their ramifications and I further consent to
his/her registration for this USA Weightlifting activity under the above stipulated conditions.

PARENT/GUARDIAN SIGNATURE_________________________________________________                         DATE_____________________

PRINTED PARENT/GUARDIAN NAME: _____________________________________________________

                            PAGES 5, 6, 7 & 8 MUST BE COMPLETED AND SUBMITTED TOGETHER




                                                                                                                            5
                      2010 USA WEIGHTLIFTING NATIONAL CHAMPIONSHIPS
                                                  OFFICIAL ENTRY FORM

                              PLEASE TYPE OR PRINT ALL INFORMATION CLEARLY

WEIGHT CLASS: _______KG        (You can only enter one and rules to move up are explained under Verification of Final Entries)

            ____ MALE           ____ FEMALE                  *U S. CITIZEN:                _____ YES           _____ NO
                                                                  *Athletes must be U.S. Citizens to compete.

NAME____________________________________________________ USA Weightlifting Member #______________
            (Last)              (First)                (Middle)


ADDRESS______________________________________________________________________________________

CITY_______________________________________________                       STATE____________             ZIP____________________

PHONE (_______)_______________            E-MAIL _____________________________ AGE_______ DOB____________

USA WEIGHTLIFTING COACH: _________________________________ COACH MEMBER #: __________________

WILL THIS BE YOUR COACH AT THIS MEET? ____YES ____ NO (If not, then whom?)_________________________
                     (COACH MUST BE A CURRENT USA WEIGHTLIFTING MEMBER TO ACCESS THE WARM-UP ROOM)


USA WEIGHTLIFTING CLUB AFFILIATION________________________________________                                   CLUB #:____________

QUALIFYING TOTAL MADE _______________KG                      WT CLASS_____________                DATE MADE ________________

SANCTIONED USA WEIGHTLIFTING QUALIFYING MEET _________________________________________________

MEET DIRECTOR'S NAME: ________________________________________________________________________


ATHLETE SIGNATURE:__________________________________________________                                    Date:_________________


                      ATHLETES UNDER 18 YEARS OF AGE MUST HAVE THE FOLLOWING SECTION
                                    COMPLETED BY A PARENT OR GUARDIAN

I have explained to my son/daughter the aforementioned releases and conditions and their ramifications and I further
consent to his/her registration for this USA Weightlifting activity under the above stipulated conditions.

PARENT/GUARDIAN SIGNATURE____________________________________________ DATE__________________

PARENT/GUARDIAN PRINTED NAME: _______________________________________________________________

IF YOU WILL BE UNDER 18 YEARS OLD AT THE TIME OF THE MEET, AND YOUR PARENT OR GUARDIAN HAS NOT SIGNED
THIS RELEASE, YOU WILL NOT BE PERMITTED TO LIFT or COMPETE.



CREDIT CARD # ___-___-___-___-___-___-___-___-___-___-___-___-___-___-___-___

EXPIRATION DATE: ____________________________________________________________________________

CARDHOLDER’S SIGNATURE_____________________________________________ DATE___________________


                          PAGES 5, 6, 7 & 8 MUST BE COMPLETED AND SUBMITTED TOGETHER



                                                                                                                                 6
                        2010 NATIONAL WEIGHTLIFTING CHAMPIONSHIPS
                                         DRUG USE AND BLOOD DOPING

TO:            All Competitors at 2010 USA Weightlifting National Championships

DATE:          June 11-13, 2010

Dear Competitors:

U.S.A. Weightlifting will be using the United States Anti-Doping Agency's In-Competition Drug Testing Program at the
U.S.A. Weightlifting National Championships. A positive result for an IOC prohibited substance will be cause for
disqualification from this event, and loss of eligibility. A negative test will demonstrate to the public and your
competitors that you have earned your achievements ethically.

By registering to compete at this occasion, you are consenting to be subject to drug testing on your urine, and accept
the penalties if found positive for a prohibited substance. All athletes chosen for either the World Team, the Pan Am
and/or National Team, and any other USAW Sponsored Team (including alternates) are required to provide an
acceptable specimen. Cooperation is mandatory; noncompliance will be cause for the same penalties as for a positive
drug test.

Further information about the doping control process, the protection of your rights, and the status of specific
medications is available from the U.S. Anti-Doping Agency and its Drug Reference Line (1-800-233-0393), 2550
Tenderfoot Hill St., Suite 200, Colorado Springs, Colorado 80906-7346. The USADA website is www.usantidoping.org.

Please remember that over-the-counter medications, nutritional supplements, and even natural herbal supplements
may contain prohibited substances. Always check first with your team doctor or the Drug Reference Line before taking
any medication prior to competition.

Sincerely,

Rick Adams, Chief Executive Officer
Chad Mentzer, Meet Director




ATHLETE SIGNATURE:__________________________________________________                     Date:_________________



                     ATHLETES UNDER 18 YEARS OF AGE MUST HAVE THE FOLLOWING SECTION
                                   COMPLETED BY A PARENT OR GUARDIAN

I have explained to my son/daughter the aforementioned releases and conditions and their ramifications and I further
consent to his/her registration for this USA Weightlifting activity under the above stipulated conditions.

PARENT/GUARDIAN SIGNATURE____________________________________________ DATE__________________

PARENT/GUARDIAN PRINTED NAME: _______________________________________________________________




                         PAGES 5, 6, 7 & 8 MUST BE COMPLETED AND SUBMITTED TOGETHER




                                                                                                             7
                      2010 USA WEIGHTLIFTING NATIONAL CHAMPIONSHIPS
                                            DRUG USE AND BLOOD DOPING

I understand that drug-testing will be conducted on a formal basis for athletes weighed-in for this event or program
and that the detection of use of banned drugs would make me subject to suspension by my sport's national governing
body and USOC. By registering for this event, I agree to be subject to a drug test and its penalties if declared positive
for a banned substance. I am aware that failure to appear for and comply with the drug test will be cause for the
same penalties as for those who are positive for a banned substance. I further understand that the practice of blood
doping is banned by the USA Weightlifting, the USOC, the IWF and the IOC and that to do so would make me subject
to punitive action within existing policies. ** Names of athletes who test positive, the name of the substance and
length of suspension will be listed in "Weightlifting USA". I know that I may call the USADA Hotline (1-800-233-0393),
for any questions about medications and banned substances or practices.

I also understand that if for some reason I elect not to continue in the competition to the completion of an official
total, or do not total, that I will still be eligible for the random drug test, and I will report to the Doping Control Officer
and advise him/her that I am making myself available for random drug testing. I will not leave the meet site until
excused by the drug control officer.

If you are a no show for drug testing, you will receive the maximum penalty of suspension from the sport.

ATHLETE PRINTED NAME: _______________________________________ DATE:__________________

ATHLETE SIGNATURE: _________________________________________________________________


** USA Weightlifting policy is a four-year suspension for first time offense and life suspension for second offense for
positive for anabolic steroids, with lesser penalties for "over the counter medication" associated positive. Contact the
National Office for specific suspension policies.




                      ATHLETES UNDER 18 YEARS OF AGE MUST HAVE THE FOLLOWING SECTION
                                    COMPLETED BY A PARENT OR GUARDIAN


I have explained to my son/daughter the aforementioned releases and conditions and their ramifications and I further
consent to his registration for this USA Weightlifting activity under the above stipulated conditions.

PARENT SIGNATURE_____________________________________________ DATE__________________

PARENT PRINTED NAME: ________________________________________________________________


IF YOU WILL BE UNDER 18 YEARS OLD AT THE TIME OF THE MEET, AND YOUR PARENT OR GUARDIAN HAS
NOT SIGNED THIS RELEASE, YOU WILL NOT BE PERMITTED TO LIFT or COMPETE.




                           PAGES 5, 6, 7 & 8 MUST BE COMPLETED AND SUBMITTED TOGETHER




                                                                                                                     8
                                   2010 NATIONAL WEIGHTLIFTING CHAMPIONSHIPS
                                           OFFICIAL TEAM ENTRY FORM
                                           (Make copies as necessary for additional teams)


SELECT ONE:     ________MEN’S TEAM (8 athletes, max)                 ________WOMEN’S TEAM (7 athletes, max)

Please enter the following Team in the 2010 USA Weightlifting National Championships. Enclosed is my check for
$75.00 (per team, Non-Refundable), made out to USA Weightlifting. I understand that if any athlete on my team
tests positive for banned substance, that the team will receive no team points and will be disqualified from this
competition. I also understand that no team points will be awarded for any lifter who fails to post a total or who does
not equal or exceed the competition qualifying totals. Team points based on USA Weightlifting rules and will be in
total only. 1st= 12 points, 2nd = 9, 3rd= 8, 4th=7, 5th=6, 6th=5, 7th=4, 8th=3, 9th=2, 10th=1

This tentative team roster must be submitted and each athlete on this roster must submit an individual entry
indicating that he represents this club. Proof of mailing is required, please see page 1, "Proof of Entry." TEAM
ENTRIES MUST BE POSTMARKED NO LATER THAN Thursday May 20, 2010.

Final team rosters are due in the competition secretary's hands by 6:00 PM on Thursday, June 10 th at the Verification
of Entries Meeting. No more than 2 per class, eight men per team and seven women per team.

OFFICIAL USA WEIGHTLIFTING CLUB NAME_________________________________________ CLUB # __________

ADDRESS____________________________ CITY___________________________ STATE_______ ZIP__________

        ATHLETE’S NAME                                               WT CLASS                        TOTAL

1. _____________________________________                             ________                    _____________

2. _____________________________________                             ________                    _____________

3.______________________________________                             ________                    _____________

4. ______________________________________                            ________                    _____________

5. ______________________________________                            ________                    _____________

6. ______________________________________                            ________                    _____________

7. ______________________________________                            ________                    _____________

        MEN ONLY

8. ______________________________________                            ________                    _____________

ALTERNATES:

1. ______________________________________                            _________                   _____________

2. ______________________________________                            _________                   _____________


CLUB OFFICIAL: __________________________________________________________ USA Weightlifting #_______________
                                (PLEASE PRINT)

SIGNATURE: ___________________________________________________________________                     Date: __________________


CREDIT CARD # ___-___-___-___-___-___-___-___-___-___-___-___-___-___-___-___                EXPIRATION DATE: _____________


CARDHOLDER’S SIGNATURE______________________________________________________ DATE_____________________

                                                                                                                     9
                         2010 USA WEIGHTLIFTING NATIONAL CHAMPIONSHIPS
                                   TRAVEL AND HOTEL INFORMATION

VENUE INFORMATION:               Peoria Civic Center
                                 201 SW Jefferson Ave
                                 Peoria, IL 61602
                                 Venue Contact Phone: (309) 673-8900
                                 Website: www.peoriaciviccenter.com
                                 NOTE: THERE WILL BE A DAILY PARKING FEE AT THE VENUE
                                 There will be no shuttle between the hotel and venue, the distance is
                                 2 blocks
                                 Training will be available at the venue beginning at noon on Thursday
                                 June 10th.

HOST HOTEL INFORMATION:          Holiday Inn City Centre
                                 500 Hamilton Blvd
                                 Peoria, IL 61602
                                 Phone: (309) 674-2500

RATE PER NIGHT:                  $89.00 plus tax


AIRPORT INFORMATION:             General Wayne A. Downing Peoria International Airport
                                 www.flypia.com

AIRLINES:                        Allegiant Air
                                 Reservations: (702) 505-8888

                                 American Eagle
                                 Reservations: (800) 433-7300

                                 Delta
                                 Reservations: (800) 221-1212

                                 United Express
                                 Reservations: (800) 241-6522

Hotel/Airport Shuttle:           Shuttle service is available to and from the General Wayne A. Downing
                                 Peoria International Airport:
                                 Contact:         Ciara Brown
                                                  hipeoria@kinseth.com
                                                  309-674-2500



Rental Cars:                     Avis              (309)   697-5200
                                 Budget            (309)   697-2723
                                 Enterprise        (309)   633-2200
                                 Hertz             (309)   697-0650
                                 National          (309)   697-0566




                                 Additional information and updates will be posted on
                                 http://weightlifting.teamusa.org



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