2008 NASA YOUTH NATIONALS

Facility: Open air three sided stage – Please bring lawn chairs or blankets.

Weigh-in Times: Early weigh-in 6:30 P.M. to 8:00 P.M. Saturday (All lifters)

Rules: All Nasa rules will be strictly enforced. A one piece lifting suit is required.

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

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

Divisions: Youth: Any lifter male or female from the ages of 5-12 years old.

Car Show: WV Open car show will be conducted on same day at park. Bring your Cameras!

Pool Party: We will be having a pool party at the Ravenswood city pool from 5:00-8:00 p.m. Saturday evening. Admission is free to all contestants and includes a pizza party and three all new slides for the kids to enjoy. Please bring your swim suits, chairs and join us for the evening of fun and celebrate the youth’s accomplishments.

Entry Deadline: Must be postmarked by July 5, 2008 – Late Entries Accepted - Cash Only!

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

Entry Form – NASA YOUTH NATIONALS POWERLIFTING & POWERSPORTS CHAMPIONSHIPS

(Print in full what divisions you’re entering – Bench Press, Push/Pull or Power Sports.)

Powerlifting Division (s) Entered: 1.______________2.______________3.______________

Power Sports Full Meet Division (s) Entered: 1.______________2.______________3.______________

Power Sports Individual Division (s) Entered: 1.______________2.______________3.______________

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, City of Ravenswood, 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, 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