2024 Powerlifting America Mississippi State Championship [2024-Ms-01]

2024 Powerlifting America Mississippi State Championship [2024-Ms-01]
Meet Venue: Anatomies 120 98th Pl Blvd, Hattiesburg Ms.39402

Requirements for Powerlifting America Sanction #2024-MS-01

Open to all registered Powerlifting America members. Membership purchased after 10/1/24 is valid through 12/31/24. Membership must be purchased prior to contest. memberships can be purchased at

https://powerlifting-america.com/registration

All participants are encouraged to read the Powerlifting America rules for competition. They can be found at

https://www.powerlifting.sport/rules/codes/info/technical-rules

Lifting: Equipped or raw

Divisions: Open, Sub Jr, Jr, Master, Youth

Weight Classes [kg]

  Women: 47kg, 52kg, 57kg, 63kg, 69kg, 76kg, 84kg, kg, 84+kg,

  Men: 59kg, 66kg, 74kg, 83kg, 93kg, 105kg, 120kg, 120+kg

Competion Schedule:

Saturday October 26 2024:

  7:00 a.m. check in and equipment check

7:30- 9:00a.m.weigh-in and equipment check

9:00 a.m.- rules briefing and lifter warm up

9:30 a.m.- lifting starts for all competitors

Awards:

Awards will be presented to 1st-3rd place finishers for each weight class and age group, as well as, best overall male and female lifter.

Technical Rules:

The competition is a Powerlifting America sanctioned event and all IPF rules will be followed.

Drug Testing/ Doping Regulations

The contest will be drug-tested in accordance with Powerlifting America, IPF, and WADA guidelines. For more information check out https://powerlifting-america.com/anti-doping/

*** check https://powerlifting-america.com/ for more contest information.

Entry Fees: $85 full power, $65 bench only or deadlift only, $35 for each additional division. You can pay with a check, money order, or pay pal. Checks and money orders made payable to Stephen Wilson and mailed to 8 Village Dr Hattiesburg Ms. 39402. Pay Pal link is below.

Please contact Stephen Wilson for further information at swilson1271@yahoo.com or (601)606-0862

***Payment must be received to confirm entry.

***Only the first 60 entries will be taken. Once the meet is full, lifters may be placed on a waiting list

***Deadline for entry is October 1 2024- No entries after this date. No refund shall be provided to any athlete that withdraws from the contest.
Name as it appears on membership *

First NameLast Name
Powerlifting America Membership Number*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

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CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Date
Age on Day of Competition*
Gender*

FemaleMale
Womens Weight Class
Mens Weight Class
Raw or Equipped*

RawEquipped
Division [Select all that apply. Each additional division is $35]*

YouthTeenJuniorOpenMaster
Division [Select all that apply. Each additional division is $35]*

Full PowerBench OnlyDeadlift Only
Total Meet Entry Fee:
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 acceptance of my entry form in this powerlifting competion I intend to be legally bound,for not only myself but also 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 and result of negligence,whitch may arise from this competition. Moreover, I agree that any testing method, witch 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 are right or wrong. I agree that I have a right to challenge the results of the test.I further agree to submitt to any physical test, which may be necessary to complete the drug testing. Should I fail to pass the drug test I agree to forfeit any trophy,which I might otherwise have won. I understand and agree that if i fail to pass the 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 releif 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*

Clear
Date*

MonthDayYear
Date
Signature of Parent/Legal Guardian [contestant under 18]

Clear
Date

MonthDayYear
Date
Certification:

I hearby give my word of honor as an athlete that i have not used any strength inducing drugs [i.e., any anabolic steriod, natural hormone, synthetic growth hormone] as part of my training during the past thirty-six [36] months, nor have I used prescription diuretics or psycohomotor stimulants during the seven [7] days prior to this competition
Signature of Lifter*

Clear
Date

MonthDayYear
Date
Participants Emergency Contact Information:
First Name Last Name Area Code Phone Number Street Address Address Line 2 City State Zip
Check out with PayPal*
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Meet Entry Fee
$85.00



Bench Only [select only if you are not entering full power]
$65.00



Deadlift Only [select only if you are not entering full power]
$65.00



Additional Division
$35.00



Additional Division 2
$35.00



Total

$0.00
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