USA National Powerlifting

Equipped & Unequipped Powerlifting, Equipped & Unequipped BP Only, Power Sports© & Push/Pull Championships

Location: Quality Inn & Conference Center, 383 E. Leffel Lane Springfield, OH 1-937-3238631 (Map Quest for easy directions) Mention NASA for the Special Rate.

Meet Director: Rich Peters, P.O. Box 735, Noble, OK. 73068 405-527-8513 sqbpdl@aol.com

Qualifying- Any Drug Free Lifter that meets the requirements of the division they are entering, may enter this meet. No Qualifying!

Official Weigh-In Times

Regular Weigh-In: 8:00-9:00 am, Saturday Morning (All Women and Men 114-181)

Early Weigh-In : 7:00-8:00 pm, Saturday Night (Men 198-SHW) (earlier if possible)

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 & High School Memberships are $15.00 per year. All lifters MUST wear a Wrestling Suit or other one piece suit.Long Socks MUST be worn by all lifters during the Deadlift. No Refunds!

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

Unequipped Powerlifting & Bench Press: 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.

Power Sports© Lifters: Required to do Strict Curl, Bench Press and Deadlift. 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.

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

Push/Pull: Single Ply equipment only. No Canvas Material allowed. Push/Pull consists of Best BP and Best DL for Total.

Unequipped Powerlifting & Unequipped Bench Press: No supportive BP Shirts or Power Suits allowed. Wrist Wraps, Knee Wraps and a Belt are allowed.

Men’s Weight Classes

Women’s Weight Class

Divisions for Powerlifting, Push Pull, Unequipped PL'ing, Power Sports© & Bench Press Only (equipment allowed)

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

Novice: Life time Anabolic Steroid Free, never one first in any NASA National Meet.

Intermediate: 24-29 years of age, 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.

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

$60.00 for first division entered, $40.00 for each additional entry. Late Fee after Deadline Date is $10.00 additional fee, for first division entered. Cash Only for all late entries.

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

Full Meet (Curl, BP & DL) = $60.00 first division, $40.00 for each additional PS Division entered.

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

Strict Curl Only= $60.00 first division, $40.00 for each additional PS division entered

Power Sports Bench Only=$60.00 first division, $40.00 for each additional PS division entered

Deadlift Only= $60.00 first division, $40.00 for each additional PS division entered

Awards: 1^st thru 5^th Place Awards for each weight class in each Division for Powerlifting, BP Only, Push Pull and Power Sports Contests. Awards will consist of National Championship Medals along with Sculptured Trophies, Column Trophies, Large Plaques and Medium Plaques and much more....

Return Entry and Entry Fee’s No Refunds on No Shows

Team Entry Fee

$40.00 per Team Entry. This fee is for the Team Trophy. Team Rosters MUST be turned in by the start of lifting on Saturday. Trophies: 1^st thru 3^rd for Powerlifting, BP Only and Power Sports Teams. Maximum of 10 members per team.

Name:________________________________ Weight Class:________ Age:_____

Address:____________________________ City:_________________ St:___ Zip:________

Equipped Bench Press Only (single ply equipment):______, ______, ______, ______, _____

Unequipped Bench Press (Belt and Wraps Allowed) : ______, ______, ______, ______, _____

Power Sports (Single Lift Events, Curl or BP or DL) - ______, ______, ______, ______

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 LLC Powerlifting, The Marriott Hotel and their staff and facility, the entire facility 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 agree to abide by NASA's Rules of Conduct and Sportsmanship. I also give NASA, Rich Peters and all other parties involved in this meet permission to post my name and make my name public if I fail any Drug Test. Do Not Sign This Waiver Before Reading It Fully and Carefully. If you do not accept it’s terms, DO NOT sign this waiver.

Any returned Check or Declined Credit Card Payments will result in the lifter being Banned from NASA and all his/her records will be permanently erased.

Athlete’s Signature:_____________________________________ Date:__________ No Refunds on No Shows

Parent’s Signature if Athlete not 18 years old:_________________________ Date:________

E-mail this Credit Card Form Now - Late Fee Begins 6-14-10 - No Refunds on No Shows

Step 1

Fill Out the entry Form Below and click "SUBMIT"

PL'ing, BP & DL Credit Card Entry Form Late Fee Began on June 14th, 2010

Please Accept My Entry For the 2010 USA Nationals

    First Name-    Last Name-

    Wt. Class-   Age-   DOB-    Phone-

   Address- City-

   State- Zip-   E-Mail-

   Powerlifting Division(s) Entered-, , ,

    Unequipped Powerlifting Division(s) Entered-, , ,

    Bench Only Division(s) Entered-, ,

    Unequipped Bench Press - , , ,

    Power Sports© Full Meet Division(s) Entered -, , ,

    Power Sports© Individual Lift Division(s) Entered -, , ,

    Push Pull Division(s) Entered (fill in)-, , ,

   Grand Total Number of Divisions Entering-

   Total Amount I will be paying by PayPal or by Phone -$ (Late Fee's MUST Be Included With This Entry After Sunday, June 15th, 2009)

I will be paying by the following method -

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A $10.00 Late Fee MUST Be Added To Your First Entry AFTER Monday, June 15th. Please Include The Late Fee after Monday, June 15th. Please Enter Early To Avoid Paying Late Fees.

Comments or Questions-

Read this Waiver Completely Before Submitting - All Unsigned Entries Will Be Returned

I Realize This Is Drug Tested Event - No Anabolic Steroids Allowed - I Certify I Am A Drug Free Lifter
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, the Marriott Hotel, N.A.S.A LLC., 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. I REALIZE THIS IS A DRUG FREE COMPETITION AND I HAVE READ AND ACCEPTED THE BANNED AND POSTED LIST OF SUPPLEMENTS AND DRUGS POSTED ON THE NASA WEB SITE. I REALIZE THAT I MAY BE CHOSEN FOR URINE TESTING AND AGREE TO BE TESTED.

I also give NASA permission to openly display and to make public my Name if I test positive for use of Anabolic Steroids or fail the Official Drug Test for any reason.

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. Submitting my Credit Card Entry certifies my acceptance of these terms for entry.

I Realize that this Competition is an Anabolic Steroid Free Meet and I may be Tested

No Refunds on No Shows

I to the terms of this waiver (Initials)-

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