USAWA National Championships

2010 USAWA NATIONAL CHAMPIONSHIPS

OFFICIAL ENTRY FORM

June 26th and 27th, 2010

Note: You must be a current USAWA member to compete

Closing Date :  May 26, 2010

NAME__________________________________________

ADDRESS______________________________________

CITY_____________________STATE_____ ZIP_______

TELEPHONE____________________________________

E-MAIL_________________________________________

AGE__________           DATE OF BIRTH_____________

USAWA MEMBER:   Yes  /  No

SHIRT  SIZE___________________________

WEIGHT CLASS_________________________________

DIVISION ENTERING [age group: i.e. open & 40+]_____________________________

In consideration of your accepting my entry, I hereby release all claims for damages, losses, and injuries that I may hold against the USAWA., the Lebanon Senior Center, Meet Directors, all officials and assistants while taking part in the 2010  USAWA Championships  Also I fully understand the USAWA drug testing policy and will  fully avail myself if selected and not hinder the officials in the execution of their duties.

SIGNATURE______________________________

PARENT’S  SIGNATURE [if under 18 years of age] _________________________

WILL  YOU BE ATTENDING THE  BANQUET?  ______

IF YES  – NUMBER ATTENDING ___________

The Banquet will be a picnic in Habecker’s back yard. Donations accepted.

Mail entry to Denny Habecker, 637 N. 11TH Ave., Lebanon, Pa. 17046

Schedule of  Events

Venue :                                    Lebanon Senior Center , 710 Maple St.  Lebanon, Pa.

Weigh-ins :                              7:30 A.M. to 8:30 A.M. –Saturday and Sunday

Lifting  starts :                        9:30 A.M.

Lifts :

Saturday – June 26, 2010

Vertical Bar Lift – 1 Bar, 2”, One Hand

Pullover and Push

Clean and Jerk – One Arm

Deadlift – Trap Bar

Sunday – June 27, 2010

Snatch – From Hang

Deadlift – One Arm

Clean and Press

Zercher Lift

Entry Fee – $50.00 [ $70.00 for 2 Divisions]

T-Shirt Included

Awards: 1st, 2nd, and 3rd in each weight class and

Age  divisions for Masters, Juniors, and Women,

Based on total poundage lifted.

Best Lifter Awards for each age group in Masters,

Juniors, Senior [20-39], and Women by Formula

Entry Form pdf:  2010 USAWA NATIONAL CHAMPIONSHIPS

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