USA Nationals Powerlifting Championship
Entry Registration Form
Dates: April 24-25, 2021
Event Host: Strength & Body
Event Location: 6914 W. Market Street, Greensboro, NC
Event Breakdown:
Saturday April 24th Competition: (Includes both "Tested" & "Untested" athletes)
- All Females in all Divisions and Weight Classes (97.0 lb/44 kg, 105.75 lb/48 kg, 114.5 lb/52 kg, 123.5 lb/56 kg, 132.25 lb/60 kg, 148.75 lb/67.5 kg, 165.25 lb/75 kg, 181.75 lb/82.5 kg, 198.25 lb/90 kg and 198.3 + lb/90.1 + kg)
- All Males in all Divisions that include the following Weight Classes: 114 lb/52 kg, 123.5 lb/56 kg, 132.25 lb/60 kg, 148.75 lb/67.5 kg, 165.25 lb/75 kg and 181.75 lb/82.5 kg.
Sunday April 25th Competition: (Includes both "Tested" & "Untested" athletes)
- All Males in all Divisions that include the following Weight Classes: 198.25 lb/90 kg, 220.25 lb/100 kg, 242.5 lb/110 kg, 275.5 lb/125 kg, 308.75 lb/140 kg, 308.8 + lb/140.1 + kg
Federation President: Bill Clary
Sanction by: 365 Strong World Powerlifting Federation (365 SWPF)
Classifications: Drug “Tested” or “Untested”
Division Categories: >Open >Juniors (20-23) >Novice >Masters >Sub-Masters (35-39) >M/P/F >Teens >Youth (11-12) >Para-lifter >Kids Club
Event Categories: >Full Power >Push Pull >Squat Only >Bench Only >Deadlift Only >Standing Curl Only
Early Weigh–Ins (at Meet location): Friday, April 23, 2021 (April 24th lifters): 10:30am – 12:30pm and 4:00pm – 6:00pm AND Saturday, April 24, 2021 (April 25th lifters): 10:30am-12:30pm and 3:30pm-5:30pm.
Late Meet Day Weigh-ins (by approval only): 7:00-8:00 am.
Weigh-in Check List: Include, Check-in (membership card, payment status), First Lift Attempts (in Kilos), Weigh In, Equipment Check, Bar Heights (SQT), T-shirt and Program Distribution
Eligibility: Any male or female age 11 years or older (unless entering the "Kids Club" deadlift event). All lifters must already have or will apply for a 365 Strong Lifetime or Annual Membership.
Standard Full Power Entry Fee: $110
Squat, Bench, Deadlift Only; Push-Pull Only Entry Fee: $90
All Teens, Youth, M/P/F and Para-Lifters/Special Olympians Full Power Entry Fee: $90
Crossover & Standing Curl Registration Fee: $50
Kids Club Participant: $25
Team Entry Fee: $80, team roster consists of a minimum is 5 competitors and a maximum of 11 (with 2 alternates)
Deadline/Late Entries: All Entries MUST be received by April 10, 2021 or be charged a Late Entry Fee of $50. NO ENTRIES AFTER APRIL 14TH OR ONCE THE DAILY LIFTER LIMIT OF 60 COMPETITORS IS MET
Uniform: Mandatory - Must have one piece lifting suit or wrestling singlet. 365 Strong rules apply, Rulebook found on our website at 365strong.org.
Competition: Mandatory rules briefing: Saturday @ 8:00am; Sunday @ 8:00am Lifting Sessions: Begin at approximately 9:00am each day
Awards: Awards for 1-3rd place all Divisions and Best Lifter for each day of competition.
Methods of Payment: Mail Check to: “365 Strong” Website: 365strong.org (PayPal online)
Mailing Address: 365 SWPF, PO Box 253, Fort Mill, SC 29716
Event Contact Number: Bill Clary: (704) 236-1899
Website: 365strong.org Email: info@365strong.org
RELEASE OF LIABILITY WAIVER (READ BEFORE SIGNING and return with entry form with entry fee)
In consideration of being allowed to participate in any way in at the 2021 USA National Powerlifting Championships, sanctioned by the 365 Strong World Powerlifting Federation, its related events and activities, I The undersigned, acknowledge, appreciate, and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential illness or permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the 365 Strong officials immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Meet Director/President Bill Clary, 365 Strong World Powerlifting Federation, event host "Strength & Body" as well as venue owners Crandall Wyrick and Randy Reittinger, all host employed personnel, 365 SWPF officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of the host venue used for this one event ("Releases"), WITH RESPECT TO ANY AND ALL ILLNESSES, INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.