2014 ISA/ISAA *RAW & RAW PLUS - WORLD CHAMPIONSHIPS *NATIONAL - POWERLIFTING CHAMPIONSHIPS

2014
NORTH TEXAS FITNESS “EXPO”
ISA/ISAA
“TWO MEETS”
December 6, 2014
*RAW & RAW PLUS - WORLD CHAMPIONSHIPS
*NATIONAL - POWERLIFTING CHAMPIONSHIPS
MEET DIRECTOR:
Robert & Melshell Morris
[email protected]; 817.210.9111 0r 817-663-5432
SANCTIONED BY:
International Strength Association
EVENT LOCATION:
Arlington Convention Center, 1200 Ballpark Way | Arlington, TX 76011
Ph- 817.459.5000 Map Link http://www.arlingtontx.gov/acc/index.html
ELIGIBILITY: Lifters must be an ISA and/or ISAA registered athlete by the time of the meet. You can renew or get
your new membership at weigh-ins ONLY!
Memberships are $25 for high school students, $30-for everyone else.
WEIGH-IN:
Friday, December 5, 2014: 11:00 a.m. – 2:00 p.m. and 4:00 p.m. – 8:00 p.m.
1200 Ballpark Way Arlington TX 76011-In the Arlington Convention Hall
Arlington Convention Center in Arlington TX – check in at the lobby to get wrist band ISA/
ISAA table.
EVENT:
MANDATORY RULES BRIEFING: Saturday, December 6, 2014, at 8:00 a.m.
NOTE- Lifting starts Saturday, December 6, 2014, at 9:00 a.m.
UNIFORM:
One piece lifting suit or wrestling suit is MANDATORY.
ISAA LIFTERS:
10% of ISAA lifters will be drug tested at the meet. All tests will be paid for and provided by
the meet director.
ENTRY FEE:
Entry fee is $75 if received on or prior to the DEADLINE, December 6, 2014. If received after
December 5, 2014, there’s an addition $25 late fee. Additional divisions are $50 each. Walkups are welcome as long as we have not reached the lifter limit. Entry fees are non
refundable. Cash , certified check or money order only, please. Certified checks and
money orders are to be made out to ROBERT MORRIS.
Mail entry forms and fees to: ROBERT MORRIS - ISA/ISAA POWERLIFTING - PO BOX 173264 - Arlington TX 76003
PLEASE NOTE: LIMITED TO THE FIRST 100 LIFTERS WITH COMPLETED ENTRY FORMS
1-2
2014
NORTH TEXAS FITNESS “EXPO”
ISA/ISAA
“TWO MEETS”
December 6, 2014
*RAW & RAW PLUS - WORLD CHAMPIONSHIPS
*NATIONAL - POWERLIFTING CHAMPIONSHIPS
Full name:
Please Print Legibly
______________________________________ Sex (circle one): Male or Female Age _______ DOB _____
e-
mail_______________________________ Address _________________________________________________________
City________________________________ State ___________________
Zip Code ___________________________
Phone Number _________________________________ Alternate Phone Number __________________________________
Current ISA/ISAA card (circle one): No or Yes If so, card number is ______________________________________________
Gym or Team name:__________________________________
T-Shirt Size: _____________________________
(Parent must sign if Lifter is under 18 years of age)
ISA/ISAA (circle all that apply):
ISA
ISAA (drug tested)
Event Entered (circle all that apply):
Full Meet
Bench Only
Raw / Raw Plus /Equipped (circle one): Raw
Division Entered (circle all that apply):
Weight Class (circle one):
Deadlift Only
Raw Plus
Equipped
Open
Teen:
13-15
Junior:
20-23
Sub master:
33-39
Master:
Women:
97
Men:
114
105
123
Fees & Payment (non refundable):
CASH, CERTIFIED CHECKS OR
MONEY ORDERS ONLY, PLEASE
No personal checks please.
114
132
16-17
18-19
40-44
45-49
50-54
75-79
80+
123
148
132
165
55-59
60-64
148
165
181
198
181
198
220
242
65-69
70-74
198+
275
308
308+
Entry fee $75: __________
If after Dec 5, 2014, add late fee $25: __________
Additional divisions $50 each: __________
Make checks or money orders out to:
TOTAL DUE: __________
Return Entry Form to: ROBERT MORRIS - ISA/ISAA POWERLIFTING - PO BOX 173264 - Arlington TX 76003
ATHLETIC RELEASE: On behalf of myself, my heirs, executors, administrators and assigns, I hereby waive, release and fully discharge any
and all officials, sponsors, participants or organizations connected to the North Texas Fitness Expo, the ISA/ISAA Powerlifting, The 2014 ISA/ISAA
Powerlifting & World Championships, the Arlington Convention Center, Texas Strength Systems, their respective officials, directors, employees,
agents and shareholders, of and from any and all rights, claims, demands, lawsuits and causes of action due to or arising from any accident, injury,
damage or loss directly, indirectly, or in any way associated with my participation in The 2014 ISA/ISAA Powerlifting & World Championships
Arlington Expo, Dec 6, 2014. I, also, represent that I know of no medical reason or condition that would impair my ability to participate in this
event, and I hereby assume any and all risk of accidental, medical injury or consequential damages resulting from my participation. I acknowledge,
understand and accept the inherent risk of powerlifting. I have read the above release, understand its meaning and consequence, and agree to be
legally bound by its terms. I have signed this release freely and voluntarily.
___________________________________________
____________________________________________
Print Lifter’s Full Name
2-2
Lifter’s signature