All New England Regional
Meet Registration Form
Event Host:  Hellhounds Strength & Athletics Training Center
Venue Location:  Milford, Connecticut
Event Date:  Saturday August 19, 2023  
Federation President: Bill Clary  
Sanction by:  365 Strong World Powerlifting Federation (365 SWPF) 
Division Classifications:  Drug “Tested” (Drug test consent) or “Untested” (No drug test) 
Divisions:  >Open  >Juniors (20-23)  >Submasters (35-39) >Novice  >Masters (40+)  >Teenage  >M/P/F  >Youth (10-12)  >Para-Lifter (Special Olympian)  >Kids Club (10 & under) 
Comp Categories:  >Full Power  >Push Pull  >Squat Only  >Bench Only  >Deadlift Only  >Strict Curl
Gear Categories:  >Raw (Knee Sleeves/Bare)  >Raw Classic (Knee Wraps)  >Single-Ply  >Multi-Ply
Early Weigh–Ins: Friday August 18, 2023: 9:30am – 12:00pm and 4:00pm – 6:00pm (at Hellhounds)  
Late Weigh-Ins (by request): Saturday August 19th (Meet Day) from 7:00-8:00am (at Hellhounds)
Eligibility:  Open to all athletes with a current Annual or Lifetime Membership 
Standard Registration Fee:  $105 
M/P/F, Para-Lifters, Youth & Teen Full Power and Squat, Bench & Deadlift Only Entry Fee:  $90
Strict Curl Entry Fee:  $50
Crossover Fee:  $50
Kids Club Entry Fee:  $25.00
Team Entry Fee:  $60 (minimum 4 per team, maximum 11 per team with 2 alternates)
Deadline/Late Entries:  All Entries MUST be received by August 12, 2023 or be charged a Late Entry Fee of $25. REGISTER EARLY!  Meet Roster limited to 28 lifters!! 
Uniform: Mandatory - Must have one piece lifting suit or wrestling singlet. 365 SWPF rules apply @ 365strong.org.
Agenda: The mandatory meeting is on Saturday @ 8:00 am; Lifting begins at approximately 9:00 am
Awards: 1st thru 3rd place for each division and weight class. Best Lifter and Team awards.
Methods of Payment:  PayPal Online Payment (Link on event page), Venmo - @Strong365, Cash App - $365Strong, or Mail check or money order to "365 Strong Powerlifting" at PO Box 253, Fort Mill, SC 29716
Federation Contact Number:  Bill Clary: (704) 236-1899 
Federation Website / Email:  Website: www.365strong.org and 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 the All New England Regional, Sanctioned by the 365 SWPF, 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 illness or hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the 365 SWPF 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/Promoter Bill Clary, 365 Strong World Powerlifting Federation, Hellhounds Strength & Athletics Training Center, all facility personnel, 365 SWPF 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, ILLNESS, 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. 

All videos (including live streaming) and photos must be pre-approved in advance by the meet director or federation president.  

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.