CFH Powerlifting's 4th Annual Texas Takeover

CFH Powerlifting & GBO present:

The 4th Annual Texas Takeover

(Full Power, Push/Pull, Bench Only, Deadlift Only)

Saturday, December 3, 2022

The Atlas Arlington Texas Expo

1200 Ballpark Way

Arlington, TX 76011

Weigh-ins:

Friday, December 2nd, 11am - 7pm at venue

DO NOT LEAVE WEIGH INS UNTIL WE HAVE GOTTEN YOUR RACK HEIGHTS!!

Saturday, December 3rd, 7am – 8am at venue

Lifting Begins: Saturday @ 10:00am (mandatory lifters meeting at 9am)

Eligibility:

Each competitor must have a valid IPA Membership. Memberships can be purchased at: www.ipapower.com by clicking "JOIN THE IPA TODAY"

Memberships will be good for 1 year, and expire on the 1st of the month listed on membership card. YOU MUST BE A MEMBER OF THE IPA TO COMPETE. THOSE WITHOUT ACTIVE MEMBERSHIPS THE DAY OF COMPETITION WILL NOT BE INCLUDED IN THE RESULTS. MEMBERSHIPS ARE NOT RETROACTIVE TO THE DATE OF COMPETITION

Uniforms:

MUST MEET IPA SPECIFICATIONS. ONE PIECE LIFTING SUIT MUST BE WORN. (singlet if you are competing raw)

Please note that according to IPA rules, knee wraps and belt and wrist wraps are allowed in the raw division.

Any questions please refer to rules www.ipapower.com/ipa-rules or contact meet director(s).

Note:

This is an equipped and raw meet! Raw is knee wraps or sleeves, wrist wraps and belt with 1 piece lifting singlet. Equipped is bench shirt, squat or deadlift suit, briefs (optional), knee wraps, belt, and wrist wraps with 1 piece lifting singlet.

Weight Classes:

Women(lbs): 97, 105, 114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 308, SHW

Men(lbs): 114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 308, SHW

Awards:

Awards will be given for 1st place for each weight class/division, as well as Best Lifter Male and Female (overall by wilks) both Raw & Equipped.

Entry Deadline: Friday, November 25, 2022

All entries must be received by November 25th, or may be accepted only if there is space available – please add $20 Late Fee after November 25th.

Event Director:

Bekah Marhefka

Tel. 817.771.7157

Email: cfh.powerlifting@gmail.com

Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Phone Number *

Area Code Phone Number

Email *

example@example.com

Age on Dec. 3rd (meet day) *

Date of birth *

Month Day Year

Weight class (can be changed at weigh in) *

Pro/Am *

Event *

Crossover Event ($15 additional fee)

Division *

Additional Division ($15 additional fee)

Attempted Opener (can be changed at weigh in) *

Squat

Attempted Opener (can be changed at weigh in) *

Bench

Attempted Opener (can be changed at weigh in) *

Deadlift

Membership expiration date *

Month Day Year

RELEASE FROM LIABILITY

In consideration of the acceptance of my entry form in this power lifting competition, I intend to be legally bound for not only myself, but also for my heirs, executors and administrators. In signing this release from liability, I wave and release any and all rights or claims for damages I may have against INTERNATIONAL POWERLIFTING ASSOCIATION (IPA), CFH POWERLIFTING, GBO, the organizers, volunteers or the sponsors of this contest.

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ AND FULLY UNDERSTAND THE INFORMATION CONTAINED IN THIS DOCUMENT AND THAT I SIGN THIS RELEASE OF CLAIMS VOLUNTARILY WITH KNOWLEDGE THAT I WAIVE IMPORTANT LEGAL RIGHTS.

Release of Liability *

I (Athlete) affirm that I have read the above Release From Liability, understand it, and agree to it. I (parent or legal guardian for athletes under 18 years old) affirm that I have read the above Release From Liability, understand it, and agree to it.

Refund Policy *

I understand all sales are final and there will be no refunds for any reason.

Signature of Athlete *

Clear

Signature of Parent or Legal Guardian for Athletes under the age of 18

Clear

Entry Fees (note: PayPal will show as paid to “Blondies Bombshells” our business name) *

Full Power (Squat, Bench, & Deadlift) $ 100.00

Push/Pull (Bench & Deadlift) $ 75.00

Bench Only $ 75.00

Deadlift Only $ 75.00

Crossover Event $ 15.00

Crossover Division $ 15.00

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Total $ 0.00

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