Illinois Regional

Christmas Championships

Equipped & Unequipped Powerlifting, Push Pull, BP Only, Unequipped Powerlifting & Power Sports

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NEW AWARDS

Swords, Sculptured Trophies, Regional Medals, 3 Column Trophies, Large Plaques and more

 

Date: Saturday, December 19th, 2009

Location: "The Gym", 112 W. North Ave., Flora, IL. 62839  (618-662-3413)

 (Map Quest easy directions)

Meet Director: Rich Peters, P.O. Box 735, Noble, OK.  405-527-8513  sqbpdl@aol.com

Official Weigh-In Times

Early Weigh-In: 8:00-9:00 pm, Friday (All Women and All Men 114-SHW)

Regular Weigh-In: 8:00-9:00 am, Saturday (All Women and All Men 114-SHW)

Lifting will begin at 10:00 am Saturday.

Rules: All Current NASA Rules will apply. View the entire NASA Rule Book on our Web Site at www.nasa-sports.com. All lifters are required to have a current NASA Membership Card. Cards will be available at the meet or can be ordered from our web site. Membership Cards are good for 1 full year from the date of their purchase. Adult Membership is $30.00 per year and High School Membership is $15.00 per year. All lifters MUST wear a Wrestling Suit or other one piece suit.

Definitions - Equipment Allowed

Powerlifting, Push Pull and Equipped BP: Single Ply Suits, BP Shirts and Wraps are allowed.

Unequipped Powerlifting & BP: Wrist Wraps, Knee Wraps and Belt allowed. No Supportive Suits and/or BP Shirts allowed.

Power Sports: No Supportive Equipment is allowed except a 4" wide lifting belt.

Power Sports Lifters: Required to do Strict Curl, Bench Press and Deadlift in the Full Meet. Lifters may enter any event individually. No Supportive Equipment is Allowed except a 4” Lifting Belt. One piece Lifting Suits MUST be worn. You may enter any event as a single lift event, i.e.-Curl, BP, Squat, DL or Full meet in any division(s) you are qualified, i.e. Masters-1, Novice, Pure, Open, etc.

Powerlifting & Push Pull Lifters: May use any single ply Suits, Bench Shirts, Legal Wraps for Squat, Bench Press and Deadlift. All Canvas Shirts & Suits are Illegal as of 3-1-01.

Unequipped Powerlifting Lifters: May use a 4" wide lifting belt and wrist and knee wraps only.

Bench Only Lifters: May use single ply Bench Press Shirts, Legal Wrist Wraps and Belt. No Canvas

Unequipped Bench Press: May use a 4" wide lifting belt and wrist wraps only.

Definitions - Equipment Allowed

Powerlifting, Push Pull and Equipped BP: Single Ply Suits, BP Shirts and Wraps are allowed.

Unequipped Powerlifting: Wrist Wraps, Knee Wraps and Belt allowed. No Suits and/or BP Shirts allowed.

Power Sports©: No Supportive Equipment is allowed except a 4" wide lifting belt.

 

Men’s Weight Classes

114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 308 & SHW

Women’s Weight Classes

97, 105, 114, 123, 132, 148, 165, 181, 198, 198+

 

Divisions: Powerlifting, Unequipped Powerlifting, Push Pull & Bench Press Only (equipment allowed)

Pure: Lifetime Anabolic Steroid Free.

Police & Fire: Full Time Police & Fire Personnel, Anabolic Steroid Free for minimum 3 years.

Natural: Anabolic Steroid Free for minimum 3 years.

Novice: Any Lifter that has never won 1st Place in any Powerlifting, BP or Power Sports Meet.

Intermediate: 24-29 years of age, Anabolic Steroid Free for minimum of 3 years.

Youth: Any lifter 6-12 years of age. Max lifts of 100% of bwt on BP & Curl and 150% of bwt on Squat & Deadlift.

High School: Currently HS enrolled lifters, Anabolic Steroid Free for life.

Junior: 13-23 years of age, Lifetime Anabolic Steroid Free.

Intermediate: 24-29 years old, Anabolic Steroid Free for minimum 3 years.

Sub-Masters 1: 30-34 years of age, Anabolic Steroid Free for minimum 3 years.

Sub-Masters 2: 35-39 years of age, Anabolic Steroid Free for minimum 3 years.

Sub Masters Pure: 30-39 years of age, Lifetime Anabolic Steroid Free.

Masters-1: 40-49 years of age, Anabolic Steroid Free for minimum 3 years.

Masters-2: 50-59 years of age, Anabolic Steroid Free for minimum 3 years.

Masters-3: 60+ years of age, Anabolic Steroid Free for minimum 3 years.

Masters Pure: 40+ years of age, Lifetime Anabolic Steroid Free lifters only.

 

“Power Sports” Raw, Totally Unequipped - Entry Fee’s

Full Meet (Curl, BP & DL) = $50.00

Power Sports INDIVIDUAL Events - Entry Fee - Awards in Each Individual Event Entered

Strict Curl Only= $50.00

Bench Only=$50.00

Deadlift Only= $50.00

Combination of Any Two Single Lift Events (2 Total Divisions, 2 Awards) = $75.00

Any 3 Individual Single Lift Events (3 Total Divisions, 3 Awards) =$90.00

Any 3 Individual Events & Full Meet (4-Total Divisions, 4 Awards) = $139.95

All High School Entry Fee's are $35.00 per division entered. Must be current HS Student for HS Entry Fee.

Awards: 1st thru 5th Place Awards for each weight class in each Division for Powerlifting, BP Only and Power Sports Contests. Awards will consist of Column Trophies, Large Plaques and Medium Plaques.

Return Entry and Entry Fee’s

NASA LLC, P.O. Box 735, Noble, OK. 73068

Or you may enter on-line Here

Entry Fee’s

Powerlifting, Push Pull, Unequipped Powerlifting and Bench Press Only (Shirts Allowed) : $55.00 for first division entered, $35.00 for each additional entry. Late Fee after Deadline Date is $5.00 additional fee, per division entered. Cash Only for all late entries. All High School Entry Fee's are $40.00 per division entered.

Power Sports Entry Fee’s are posted on the Power Sports portion of this entry form.

Team Entry Fee

$35.00 per Team Entry. This fee is for the Team Trophy. Team Rosters MUST be turned in by the start of lifting on Saturday. Trophies for 1st thru 3rd for Powerlifting, BP Only and Power Sports Teams. Maximum of 10 members per team.

How To Enter - Using The Entry Form Properly

~~~~~~~~Official NASA Mail In Entry Form~~~~~~~~

2009 Illinois Christmas Regional Championships            Late Fee Begins: December 14th, 2009

Name:__________________________     Weight Class:______  Age:_____

Address:_________________________ City:_______________ St:___  Zip:_____

E-mail Address:______________________  Phone: (____)_______________

 

Full Powerlifting Meet Divisions Entered (Equipped): _______, _______, ________, ________.

Unequipped Powerlifting: _______, _______, ________, ________.

Bench Press Only (shirts, wraps, equip allowed) _______, _______, _______, ________

Unequipped Bench Press: _______, _______, _______, ________

Power Sports (raw) Full Meet Divisions Only- _______, ________, _______, ________.

Power Sports Individual Lift  Divisions Entered: _______, ________, ________, _______.

Push Pull: _______, ________, ________, _______.

Total Amount Enclosed : $_______  Check #_______  Total Number of Divisions Entered:____

I realize this Competition is an Anabolic Steroid Free Meet and I may be Tested by Urinalysis

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 my competing in this contest as against Rich Peters, NASA Powerlifting,The Gym and their employees, all facilityies used and any of their agents and employees. I also realize that the sport of Powerlifting is a high risk sport and that I could be injured. I certify that I am in good physical health and have no serious health problems and that I assume full responsibility for such conditions. I also realize that I am fully responsible for my well being and safety in the warm up room, on the lifting platform and while I am lifting at this event. I also certify, by my signature, that I have read this waiver and fully understand and accept it’s terms. I do hereby verify my acceptance by my signature below. Do Not Sign This Waiver Before Reading It Fully and Carefully. If you do not accept it’s terms, DO NOT sign it.

Athlete’s Signature:_____________________________________   Date:__________

Parent’s Signature if Athlete is under 18 years of age:____________________________  Date:________

 

-------------------------------Credit Card Entry Form---------------------------------

 

This Entry Form is ONLY for Credit Card Entries- All others use the mail-in Entry Form Above.

 

Submit this Form.   Late Fee Begin December 14th, 2009

How To Enter - Using The Entry Form Properly

   NASA Illinois Christmas Regional Credit Card Entry Form Only          

Late Fee's Begin 12-14-09

Or you may use Secured Credit Card Entry by PayPal Here

  First Name-    Last Name-

  Wt. Class-   Age-   DOB-    Phone-

   Address-  City-

   State-  Zip-        E-mail Address-

 

    Powerlifting Division(s) Entered -, ,

    Bench Only Division(s) Equipped Entered -, ,

    Unequipped Bench Press -  , ,

   Power Sports Full Meet (curl, BP & dl) Division(s) Entered -, , ,

   Power Sports Individual Events & Divisions Entered ( curl, bp, dl, etc)- , , ,

   Unequipped Powerlifting Division(s) Entered -, ,

   Push Pull Divisions Entered- ,

    Total Number of Divisions Entering-  

    Total to Charge on this Credit Card -$   Type of Credit Card-

    Credit Card #      Expiration Date of CC - (example 06/23/03)

Comments or Questions-

Read this Waiver Completely Before Submitting - All Unsigned Entries Will Be Returned
IN CONSIDERATION OF YOUR ACCEPTANCE OF THIS ENTRY, I HEREBY WAIVE, FOR MYSELF, MY HEIRS, AND ASSIGNS, ANY AND AL L CLAIMS FOR INJURY OR DAMAGES WHICH I MAY INCUR BY VIRTUE OF MY COMPETING IN THIS MEET AS AGAINST RICH PETERS,  N.A.S.A., The Gym and all their employees AND  THEIR AGENTS AND EMPLOYEE'S . I ALSO REALIZE THAT THE SPORT OF POWERLIFTING IS  A HIGH RISK SPORT AND I COULD BE SERIOUSLY INJURED. I ALSO REALIZE I AM RESPONSIBLE FOR MY OWN SAFETY WHILE USING THE WARM-UP AREA. I CERTIFY THAT I AM IN GOOD HEALTH AND HAVE NO SERIOUS HEALTH PROBLEMS AND ASSUME FULL RESPONSIBILITY FOR SUCH CONDITIONS. I HAVE READ AND FULLY UNDERSTAND THIS WAIVER AND ASSUME ALL RISKS FOR INJURY, AND DO HEREBY VERIFY MY ACCEPTANCE OF THIS WAIVER BY MY SIGNATURE OR INITIALS. DO NOT SIGN BEFORE READING THIS DOCUMENT FULLY AND CAREFULLY. I agree to the terms of this waiver and do so indicate by my submission this Credit Card Entry.

I Realize that this Competition is an Anabolic Steroid Free Meet
I to the terms of this waiver (Initials)-

 

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1 Year Adult Membership - $30.00 

1 Year High School Membership - $15.00