World Powerlifting Games 2021
Registration Form
Host Venue:
Muzz's Gym, 201 NC-268, North Wilkesboro, North Carolina
When:
October 16-17, 2021
Sanction by:
365 Strong World Powerlifting Federation (365 SWPF)
Separate Classifications:
Drug
“Tested”
or
“Untested”
Competition
Divisions: >Open >Juniors
(20-23)
>Submasters
(35-39)
>Masters >M/P/F >Teenage >Youth
(ages 11-12)
>Paralifters >Kids Club
(kids 10 & under...deadlift only)
Competition Categories:
>
Full Power >
Push
Pull >
Squat Only >World
Bench Face-Off >
Deadlift Only >Strict Curl
Early Weigh–Ins:
At the event venue
(Saturday Competitors),
Friday, October 15, 2021
: 10:30 am-1:00 pm and 4:00-6:00 pm
(Sunday Competitors),
Saturday, October 16, 2021
: 10:30 am-1:00 pm and 3:30-5:30 pm
Meet Day - Late Weigh-ins
: 6:45-7:45 am (by request only)
Weigh-in Check List:
Include, Athlete Check-in (membership card, varify country, payment status), First Lift Attempts, Weigh In, Equipment Check, Bar Heights (SQT and BP), T-shirt, Lifter & Coaches Pass Distribution
Eligibility Options:
1)
Achieved a qualifying lift or total in any sanctioned federation meet,
2)
Won their (divisions) weight class in a designated 365 SWPF qualifying meet,
3)
Received an official invitation to participate from 365 SWPF,
4)
Placed in the top 2 in their divisions weight class at the 2020 World Powerlifting Games and
5)
When an athletes Nation, Team or Gym receives an Official Group Invitation, each participating member of that group is eligible to compete
Standard Full Power Entry Fee:
$
120
M/P/F, Para-Lifters, Teen & Youth Full Power and lifters in Push Pull, Squat, Bench Face-Off or Deadlift Entry Fee:
$100
Strict Curl and/or Crossover entry fee:
$
50
(Note: Additional fee for entering a second division)
Kids Club Entry Fee:
$25 (deadlift only)
Country or Team Entry Fee:
$8
0
, team minimum is 5, maximum is 11 (+2 alternates)
Deadline/Late Entries:
All Entries and Fees
MUST
be received by
September 20, 2021
or be subject to paying a
$25
Late Fee
.
NO ENTRIES ACCEPTED AFTER October 1, 2021
!
Uniform:
Mandatory - Must have one piece lifting suit or wrestling singlet. 365 Strong rules apply, Rulebook found on our website at 365strong.org.
Mandatory Rules Briefing:
Begins @ 7:45am on day of competition.
Opening Introductions & Lifting Begins:
At approximately 9:00am each day
Awards:
1-3rd place all Divisions/Weight Classes, Best Division Lifter and Best Lift awards.
Event Schedule
(subject to change)
:
Saturday October 16th Competition:
All Female "Tested" & "Untested" Divisions and the following
Weight Classes
:
44k/
97.0lb, 48k/105.8lb, 52k/114.6lb, 56k/123.4lb, 60k/132.2lb, 67.5k/148.8lb, 75k/165.3lb, 82.5k/181.8lb, 90k/198.4lp, and 90.1+k/198.5+lb (Unlimited)
Male "Tested" & "Untested" Divisions and the following Weight Classes
:
52k/114.6lb, 56k/123.4lb, 60k/132.2lb, 67.5k/148.8lb, 75k/165.3lb, 82.5k/181.8lb, 90k/198.4lb
Sunday October 17th Competition:
Male "Tested" & "Untested" Divisions and the following Weight Classes
:
100k/220.4lb, 110k/242.5lb, 125k/275.5lb, 140k/308.6lb, 140.1k/308.7+lb (SHW)
Methods of Payment:
Checks Payable: “365 SWPF”
Website:
www.365strong.org
(PayPal online)
Return Address:
365 SWPF, PO Box 253, Fort Mill, SC 29716
Federation President:
Bill Clary: 704/236-1899
Website:
www.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 World Powerlifting Games
, 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 for 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 bring such matters 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 and Federation President Bill Clary, 365 STRONG World Powerlifting Federation LLC, Muzz's Gym, event staff and all dedicated personnel, 365 Strong officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity ("Releases"), WITH RESPECT TO ANY AND ALL 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.
Name
Address:
City, State/Province, Zip:
Country
Email
Phone
Other Phone
Date of Birth:
Country / Team:
Select Qualifying Option:
Achieved Qualifying Total or Lift
365 Strong Meet Qualifier
365 Strong Invitation
Juniors Only
Qualifying Total/Lift and/or Meet:
Current Records Held:
Membership Status:
Enter Yes (you applied today) or No (you will apply at weigh-ins)
Choose Category:
"TESTED" (drug test consent)
"UNTESTED"(no drug test consent)
Lifting Preference:
You may change your preference at weigh-ins.
Raw (knee sleeves permitted)
Raw Classic (knee wraps permitted)
Equipped Single-Ply
Geared Multi-Ply
Division Categories Entering:
Open
Juniors (20-23)
Submasters (35-39)
Masters (40 & over)
Teenage (ages 13-19)
Youth (ages 11-12)
M/P/F (military, police, firefighter)
Para-Lifter
Kids Club (10 & under)
Lifting Competition Entering:
Full Power
Push Pull
Squat (only)
World Bench Face-Off (only)
Deadlift (only)
Strict Curl
Men's Weight Class Entering:
52.0 kg/114.6 lb
56.0 kg/123.4 lb
60.0 kg/132.3 lb
67.5 kg/148.8 lb
75.0 kg/165.3 lb
82.5 kg/181.8 lb
90.0 kg/198.3 lb
100.0 kg/220.4 lb
110.0 kg/242.5 lb
125.0 kg/275.5 lb
140.0 kg/308.6 lb
SHW Class (140.1 kg or 308.7 lbs and up)
Women's Weight Class Entering:
44.0 kg/97.0 lb
48.0 kg/105.8 lb
52.0 kg/114.6 lb
56.0 kg/123.4 lb
60.0 kg/132.3 lb
67.5 kg/148.8 lb
75.0 kg/165.3 lb
82.5 kg/181.8 lb
90.0 kg/198.3 lb
90.1+ kg and up or 198.5 lbs and up
I agree to abide by all terms of the Entry Information and the Waiver General Release:
YES
NO
Meet T-Shirt Size:
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Adult XXXXL
Kids Size (enter in comments)
Walk-up Lifting Song
Please provide the name of your song and artist.
Lifter Name Confirmation
Parent or Guardian Approval (if under 18 years old)
Further Comments
Register