4 page entry form

METROFLEX EVENTS.COM & CRAIG PRODUCTIONS.COM PRESENT
AN
THE BR
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rdcore P
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ted By H
Promo
duced &
ned, Pro
Sanctio
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COM
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N
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WA
$6,000 In CASH
Performance
Bonuses + $9,678
In Prizes Up For The
Winning!
MAX RAW BENCH * MAX RAW DEADLIFT * MAX RAW PUSH PULL
The NPC Emerald Cup Expo
The NPC Branch Warren Classic Expo
Meydenbauer Center, Bellevue, WA
NRG Park, Houston, TX
Men’s Pro Middleweight Championship
+ Men & Women’s Record Breakerz
(all 14 body weight classes)
Men’s Pro Heavyweight Championship
+ Men & Women’s Record Breakerz
(all 14 body weight classes)
Saturday, April 30th, 2016
Saturday, July 16th, 2016
• All Skill & Strength Levels Welcome
(18+ years of age)
• 500+ Pound Benchers & 700+
Pound Deadlifters Sign Up For FREE
• Professional Video Highlights Of
Everyone’s Best Lifts
• Trophies For 1st Place In All 14 Body
Weight Classes (Men & Women)
Exclusive Prizes For The
Emerald Cup Expo Stage
# 1 The Strongest Man (bench +
deadlift) Under 225 Pounds Body
Weight, Wins $1,000 CASH From
Symbolic Muscle
# 2 Any Man Who Breaks A Max
Bench Or Max Deadlift Record Wins
A $169 Watch From Swole O’Clock
(one watch for each of the 16
possible new records.)
# 3 The Absolute Strongest Women’s Deadlift From Portland Wins A
Full Year Of Jiu Jitsu & Kickboxing
Coaching From Industrial Strength
Gym ($1,260 Value)
Exclusive Prizes For The
Branch Warren Classic
Expo State
# 1 The Absolute Strongest Man
(bench + deadlift) Wins $1,000
CASH From Symbolic Muscle
# 2 The Absolute Biggest Raw
Benchpress Of The Show Wins
$250 CASH From IFBB Pro, Branch
Warren
# 3 The Absolute Biggest Raw
Deadlift Of The Show Wins $250
CASH From IFBB Pro, Branch Warren
181 – 200.9 Pounds Body Weight
Division
Kristy Scott, 275 Pounds @ 199.8
Pounds Body Weight
161 - 180.9 Pounds Body Weight
Division
Charlie Ritchie, 170 Pounds @
173.6 Pounds Body Weight
141 – 160.9 Pounds Body Weight
Division
Erin Murray, 190 Pounds @ 157
Pounds Body Weight
121 – 140.9 Pounds Body Weight
Division
Stephanie Daniel, 209.4 Pounds @
138.8 Pounds Body Weight
# 4 Any Man Who Breaks A Max
Bench Or Max Deadlift Record Wins
120.9 Pounds & Under Body
# 4 The Lightest Women From
A $169 Watch From Swole O’Clock
Weight Division
Portland, To Deadlift 315+ Pounds, (one watch for each of the 16
Rubi Robles, 155 Pounds @ 119.6
Wins A Full Year Of Jiu Jitsu & Kick- possible new records.)
Pounds Body Weight
boxing Coaching From Industrial
Strength Gym ($1,260 Value)
# 5 The Strongest Man & Women
(push pull) From Portland, In Each
Body Weight Class (6 women’s
classes & 8 men’s classes), Wins
A Free Month Of Jiu Jitsu & Kickboxing Coaching From Industrial
Strength Gym (Fourteen $125
Prizes)
To Qualify For Any Of The IndustrialBJJ.com Martial Arts Coaching
Prizes, A Competitor Must Live
Within 20 Miles Of The Facility (Industrial Strength Gym, 2034,NW
26th Ave, Portland, OR 97210)
THE
WAR
BRANCH
R E N .C O
M ’S
CASH Prizes Which Can Be
Won At Either Expo
$3,500 In Record Breaker Bonuses,
Which Will Go To Whomever Can
Set & Hold New Records Through
Both Competition Weekends
Break ANY Of The Following Women’s Single Lift Powerlifting Records And Win $100 For EACH New
Record You Set, From IFBB Pro,
Branch Warren
Women’s Raw Deadlift
201 Pounds & Over Body Weight
Division
Erin Stanton, 435 Pounds @ 282
Pounds Body Weight
181 – 200.9 Pounds Body Weight
Division
Kristy Scott, 545 Pounds @ 199.8
Pounds Body Weight
Women’s Raw Benchpress
161 – 180.9 Pounds Body Weight
Division
Lynne Boshoven, 465 Pounds @
165 Pounds Body Weight
201 Pounds & Over Body Weight
Division
Erin Stanton, 210 Pounds @ 282
Pounds Body Weight
141 – 160.9 Pounds Body Weight
Division
Erin Murray, 400 Pounds @ 157
Pounds Body Weight
Women’s Raw Deadlift (cont.)
121 – 140.9 Pounds
Tashayla Whelan, 375 Pounds @
138.8 Pounds Body Weight
120.9 Pounds & Under Body
Weight Division
Zorahgail Balino, 275 Pounds @
120.6 Pounds Body Weight
Break ANY Of The Following Men’s
Single Lift Powerlifting Records
And Win The Following Cash
Amounts, From IFBB Pro, Branch
Warren
Men’s Raw Benchpress
301 Pounds & Over Body Weight
Division
Eric Spoto, 700 Pounds @ 321.5
Pounds Body Weight
Cash Bonus = $200
201 – 225.9 Pounds Body Weight
Division
Adrian Larsen, 585 Pounds @ 220.2
Pounds Body Weight
Cash Bonus = $200
201 – 225.9 Pounds Body Weight
Division
Brandon Cass, 825 Pounds @ 222
Pounds Body Weight
Cash Bonus = $100
176 - 200.9 Pounds Body Weight
Division
Garrett Griffin, 485 Pounds @
198.6 Pounds Body Weight
Cash Bonus = $100
176 - 200.9 Pounds Body Weight
Division
Stefan Oesterle, 660 Pounds @
197.8 Pounds Body Weight
Cash Bonus = $100
151 – 175.9 Pounds Body Weight
Division
Phil Brewer, 455 Pounds @ 172.8
Pounds Body Weight
Cash Bonus = $100
151 – 175.9 Pounds Body Weight
Division
Vashon Perryman, 700 Pounds @
172.2 Pounds Body Weight
Cash Bonus = $100
150.9 Pounds & Under Body
Weight Division
Adam Zehr, 340 Pounds @ 139
Pounds Body Weight
Cash Bonus = $100
150.9 Pounds & Under Body
Weight Division
Richard Hawthorne, 600 Pounds @
130 Pounds Body Weight
Cash Bonus = $100
Men’s Raw Deadlift
301 Pounds & Over Body Weight
276 – 300.9 Pounds Body Weight Division
Division
Benedikt Magnusson, 1,015
Al Davis, 635 Pounds @ 296 Pounds Pounds @ 381 Pounds Body Weight
Body Weight
Cash Bonus = $200
Cash Bonus = $200
276 - 300.9 Pounds Body Weight
251 – 275.9 Pounds Body Weight Division
Division
Robert LaRon Toatley, 800 Pounds
Jeremy Hoornstra, 675 Pounds @ @ 289.6 Pounds Body Weight
266.2 Pounds Body Weight
Cash Bonus = $200
Cash Bonus = $200
251 - 275.9 Pounds Body Weight
226 – 250.9 Pounds Body Weight Division
Division
Tom Emelander, 804 Pounds @
Jeremy Hoornstra, 615 Pounds @ 274.8 Pounds Body Weight
240 Pounds Body Weight
Cash Bonus = $100
Cash Bonus = $200
226 – 250.9 Pounds Body Weight
Division
Orlando Green, 865 Pounds @
230.8 Pounds Body Weight
Cash Bonus = $100
Cash Prize Money Disclaimer:
If you break one of the existing records
listed above, and then another competitor breaks your new record, the
winnings will go to the powerlifter who
holds the new record at the conclusion
of The 2016 NPC Branch Warren Classic
Expo. If you break one of the existing
records, and then break it again, you
will only get paid once for breaking the
record. The record breaker prize money
will be distributed after The 2016 NPC
Branch Warren Classic Expo (with a
maximum of one record breaking cash
prize per single lift record listed.)
THE
WARR
BRANCH
E N .C O M
’S
Full Name:
Age:
Height:
Nickname:
T-Shirt Size:
Complete Mailing Address:
Gym Shorts Size:
Best Competition Raw Bench:
Phone Number:
Email Address:
Best Raw Gym Bench:
Best Competition Raw Deadlift:
Best Raw Gym Deadlift:
Sign Up Deadline For The Emerald Cup Expo = Monday, April 18th, 2016
(All entries must be post marked by this date. No exceptions please.)
Sign Up Deadline For The Branch Warren Classic = Tuesday, July 5th,
2016 (All entries must be post marked by this date. No exceptions please.)
All Competitors Will Be Provided With Official Competition Shirts, Shorts &
Deadlifting Socks At NO Additional Charge.
Entry Form Payment:
ALL 500+ POUND RAW BENCHERS & 700+ POUND RAW DEADLIFTERS SIGN
UP FREE-OF-CHARGE
Pricing For All Sub 500 Pound Benchers & 700 Pound Deadlifters Is As
Follows:
Emerald Cup Only = $75
Branch Warren Classic Only = $75
Both Expo Stages = $125 (save $25)
Powerlifting, Bodybuilding, Strongman(woman), Olympic Weightlifting,
Highland Games, Crossfit And/Or Arm Wrestling Titles & Records Currently
Held:
Sponsors:
Name Of Gym:
Name Of Team:
Name Of Strength & Conditioning Coach:
Please Sign & Date TWICE Where Indicated (Below) And Mail This Entry
Form In, Along With A Check Or Money Order For The Appropriate Amount,
Made Out To: HARDCORE POWERLIFTING. Please Mail The Completed Entry
Form & Payment To: Hardcore Powerlifting, Attn: Sean Katterle, 27 NW
Trinity Place, Suite B, Portland, OR 97209
In consideration of the acceptance of this entry form for myself, my heirs, executors and
administrators waive and release any and all rights for damages I may have against Sean
Katterle, Hardcore Powerlifting, Jake Jones, Symbolic Muscle, The Emerald Cup Expo,
Please make your check or money order out to HARDCORE POWERLIFTING and mail to Hardcore Powerlifting, Attn: Sean Katterle, 27 NW Trinity
Place, Suite B, Portland, OR 97209.
Branch Warren, Brad & Elaine Craig, Metroflex Gym, Josh Strength, Swole O’Clock, The ISSA,
Texas Strength Systems, Ivanko Barbell Company, IRON MAN Magazine, BOAD Apparel,
Industrial Strength Gym, Josh Winsor Photo + Design, their representatives, successors and
assigns for any and all injuries and bodily harm that I might suffer while competing at or
Please Check One For Each Of The Following
attending Hardcore Powerlifting’s Double Titan at The 2016 NPC Emerald Cup Expo and/or
2016 NPC Branch Warren Classic Expo.
Emerald Cup Only
Branch Warren Classic Only
Both Expo Shows
Signature
Printed Name
Max Raw Bench Only
Max Raw Deadlift Only
Max Raw Push Pull (bench + deadlift = 2 lift total)
Date
I officially consent to being filmed and photographed by Hardcore Powerlifting, by
 Men’s 150.9 Pound & Under Body Weight Division
 Men’s 151 – 175.9 Pounds Body Weight Division
 Men’s 176 – 200.9 Pounds Body Weight Division
 Men’s 201 – 225.9 Pounds Body Weight Division
Men’s 226 – 250.9 Pounds Body Weight Division
Men’s 251 – 275.9 Pounds Body Weight Division
Men’s 276 – 300.9 Pounds Body Weight Division
Men’s 301 Pounds & Over Body Weight Division
Women’s 120.9 Pounds & Under Body Weight Division
Women’s 121 – 140.9 Pounds Body Weight Division
Women’s 141 – 160.9 Pounds Body Weight Division
Women’s 161 – 180.9 Pounds Body Weight Division
Women’s 181 – 200.9 Pounds Body Weight Division
Women’s 201 Pounds & Over Body Weight Division
Josh Winsor Photo + Design, by Doug Jantz Photography and by their associates while
attending Hardcore Powerlifting’s Double Titan at The 2016 NPC Emerald Cup Expo and The
2016 NPC Branch Warren Classic Expo. I understand that my likeness may be used for the
purpose of film design, website building, clothing design, poster design, article layouts
and for other weight lifting and health related fitness endeavors. I fully understand that
all film and photo materials are the sole property of Hardcore Powerlifting, Josh Winsor
Photo + Design, Jake Jones and/or Doug Jantz Photography and that I do not own any
percentage or portion of their value and/or creative and production rights.
Signature
Printed Name
Date
Questions or Concerns? Need additional assistance with getting signed up? Please contact Hardcore Powerlifting’s
business office at 1.503.221.2238 (voicemail) or online at www.Facebook.com/hardcorepowerlifting