www.LadiesLiftHere.com DATE : LOCATION : TIME : ENTRY

Transcription

www.LadiesLiftHere.com DATE : LOCATION : TIME : ENTRY
Ladies Lift Here, in
conjunction with Teambix &
Hudson Valley Strength,
proudly presents:
STRONGMAN MANIA
A one day, 3 show strongman
extravaganza.15 different strongman
events, no other sports, all under
one roof. Sanctioned through NAS,
Teambix will host a Platinum Plus
show, Hudson Valley Strength a
ALL WOMEN’S
STRONGMAN
COMPETITION
Level II Men’s Only Event, and
Ladies Lift Here will host an All
Women’s Strongman Competition.
DATE : Saturday, July 18, 2015
LOCATION : NEPA CrossFit, 180 Courtright St, Plains, PA 18702
TIME :
Weigh-Ins : 8AM / Rules : 9AM / Contest : 10AM - 3PM
ENTRY: $60 : Deadline is July 10, 2015 (or until we have reached the athlete cap)
PROMOTER :
Amanda Kulik / 717.686.2623 / [email protected]
DIVISIONS :
NOVICE WOMEN
OPEN WOMEN
MASTERS WOMEN
(LW/MW/HW)(LW/MW/HW)(open class)
CLASSES :
LW 0-140.4
MW 140.5 - 180.4
HW 180.5 +
If there are not 5 or more competitors per weight class, they will be combined. If there are not 5 Masters
they will compete with the MW Novice Women. NAS membership is required of all participants.
Prizes : T-shirt and athlete gift bag for competitors : 1 Place Novice, 1-3 Place Open, 1 Place Master
EVENTS : 1. LOG PRESS : 60 secs : C&P every rep : 10” log
2. TRAP BAR DEADLIFT : 60 secs : no straps or suits
3. SANDBAG : Max distance : sandbag must be bear hugged : no walking backward
4. STONE SHOULDER : 60 secs
5. KEG TOSS : 60 secs : 5 quarter kegs over bar : height TBD
WEIGHTS : Log press
trap Bar Deadlift
Sandbag
Stone Shoulder
KEG Toss
LW : N / O
MW : N / O / M
HW : N / O
100 / 115
250/ 285
125 / 150
125
5 kegs
115 / 125 / 115
285 / 315 / 285
150 / 175 / 150
125 / 150 / 125
5 kegs
125 / 145
315 / 350
175 / 200
150 / 175
5 kegs
Events/weights subject to change.
www.LadiesLiftHere.com
ALL WOMEN’S
STRONGMAN
COMPETITION
ENTRY FORM/WAIVER
In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors and administrators, and my assignees, waive, and release all rights
and damages I may have against (Amanda Kulik, Ladies Lift Here LLC, Kyle Bixler, Teambix, NEPA CrossFit and all sponsors of the event, their representatives
and assigns, for any and all injuries incurred by me in conjunction with this competition and in travelling to and from the event. And in further consideration
of permission being granted to me to participate in Strongman Mania All Women’s Strongman Competition and its related events, I hereby grant Amanda
Kulik, Hearth Creative LLC, Ladies Lift Here LLC, Teambix, NEPA CrossFit and/or any other approved video or entertainment organization and all of their
agents, successors, licensees, and assigns, the right to photograph or otherwise reproduce (whether by film, tape, still photography or otherwise) my voice,
appearance, and name, and to exhibit, distribute, transmit, and/or otherwise exploit any and all media, including without limitation, by means of still photography,
motion pictures, radio, television, television motion pictures, video, printing or any other medium now known or hereafter devised, including with respect also
to any merchandising, advertising, and/or publicity, and the right to use my name and information about me in any connection with any of the foregoing. The
rights granted by me hereunder are granted for the entire universe and shall endure in perpetuity and no further compensation shall be payable to me at
anytime in connection therewith. Nothing contained herein shall be deemed to obligate Amanda Kulik, Hearth Creative LLC, Ladies Lift Here LLC and/or any
other approved video or entertainment organization, to photograph or otherwise reproduce my voice, appearance or name, or to make use of any rights granted
herein. I also understand that the aforementioned rights may be reassigned at any time without further consent. I understand that Amanda Kulik, Hearth Creative
LLC, Ladies Lift Here LLC and/or any other approved video or entertainment organization are videotaping and photographing the event in express reliance upon
foregoing, and I represent and agree that I am free to grant the rights granted to Amanda Kulik, Hearth Creative LLC, Ladies Lift Here LLC and/or any other
approved video or entertainment organization hereunder. Therefore I affix my signature below:
Name ___________________________________________________________________ Age _________ Date of Birth ______ / ______ / ______
Address _______________________________________________________________ City _________________ State _____ Zip ____________
Phone_______________________________________ Email _____________________________________________________________________
Tank top
Division:
M
Weight Class:
NOVICE
OPEN
MASTERS
Men’s Sizes: S
LW
MW
HW
Women’s Sizes: S
L
M
or
XL
L
T-shirt
2XL
XL
2XL
3XL
4XL
3XL
Signature _______________________________________________________________________________________________________________
Parent/Guardian Signature ________________________________________________________________________________________________
(Parent or guardian signature required if contestant is under 18 years of age)
Please make checks payable to:
Ladies Lift Here
c/o Amanda Kulik
462 Poplar Street
Lancaster, PA 17602
You may also use PayPal by sending payment to [email protected],
however you must STILL send a physical or electronic copy of THIS entry form.
ALL ENTRIES ARE NON-REFUNDABLE / NON-TRANSFERABLE
www.LadiesLiftHere.com