Kentucky Powerlifting

*** This meet is also a NASA Pro Powerlifting and Pro Power Sports Qualifier ***

Days Inn Morehead 606-783-1484 – Ask for NASA & Conference Center discount when reserving rooms

Rules: All NASA rules will be strictly enforced. All lifters will be required to hold a current NASA membership card (or purchase one at the meet.) They are $30.00 annually and $15.00 for high school students. A one piece lifting suit is required except for high school students, (shorts & T-shirt).

Powerlifting - Squat, Bench & Deadlift for Total. Legal single ply equipment may be used for all lifts.

Unequipped Powerlifting - Squat/Bench/Deadlift=Total. Kneewraps & Wrist Wraps Allowed. See Asterik ***

Push/Pull – Combination of best bench press & best deadlift=Total. Single ply suit, wrist wraps/knee wraps may be used.

Power Sports Full Meet & Individual Lifts – No supportive equipment allowed except a 4’ belt and a singlet.

Novice: Lifetime Anabolic Steroid Free & Never placed first in any meet.

Entry Deadline: Must be postmarked by May 16, 2008 – Late Entries Accepted - Cash Only!

Entry Fee: $50.00 First division entered, $30.00 for each additional division entered BP, PP and Power Sports. Late fee of $10.00 for first Division & $5.00 for additional divisions after 05-16-08. High School Division $25.00. $5.00 Late Fee for High School Division.

Team Entry Fee: $30.00 Bench Press/$30.00 Push/Pull/$30.00 Power Sports/$30.00 Mixed Team. All team members must be entered into an individual event.

Urinalysis testing could be conducted at meet. All American records are subject to Drug Testing! Lifter is responsible to understand and read the banned substance list provided at www.nasa-sports.com under drug testing section.

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Zip Code:_________Phone:______________Age:_____________DOB:____________Email_____

Credit Card Type:________________ Credit Card #__________ __________ _________ _________

Expiration Date:__________Name on Card____________________3 Digit Code on Back______

In consideration of your acceptance of this entry, I hereby waive, for myself, my heirs, and assigns, any and all claims for injury or damages which I may incur by virtue of competing in this meet as Greg Van Hoose, Van Hoose Enterprises LLC, Morehead Conference Center, NASA, their agents and employee's. I also swear that I am anabolic steroid free for the time period I so indicated by the division I have carefully chose to enter. I also agree to present myself in a timely fashion for any and all Drug Testing that I might be asked to submit. Failure to submit to drug testing will be grounds for ban of a period of three years, which is the same period for a positive steroid test. Testosterone levels over 6/1 ratio will disqualify me from NASA and this meet. If found positive for drug test NASA has the right to publish your name under the suspended lifter list. I also understand it is my responsibility to fully read the banned list information that is provided at www.nasa-sports.com. I also certify that I am in good physical health and I am not knowingly competing in this competition against any Dr.'s orders or recommendations. I also realize that powerlifting, Bench Pressing and Power Sports are High Risk Sports and I could very well be injured. I release the promoter and above mentioned individuals and owners of any liability for injury or loss if any such injury occurs. I also realize that I use the reverse or open (thumb not locked around bar) Grip for the Bench Press, I am greatly increasing my chances of personal injury. I fully accept the risk that I may take for my own actions in performing my lifts in this meet and the warm-up area. I also realize that spotter/loaders are not provided in the warm-up area and I shall provide my own, for my own safety. I hereby release Greg Van Hoose, Van Hoose Enterprises LLC, NASA, the Owner of the meet location, and any and all agents and employees of such from any and all claims for injury and loss that I might incur by my participation in this event, in the warm-up area and my travel to and from the meet. Do not sign before reading this document fully and carefully.

Signature (Parent if not 18) Date