2018 AMERICAN CHALLENGE VIRGINIA

POWERLIFTING - BENCH PRESS-DEADLIFT-

STRICTCURL CHAMPIONSHIPS

Best Western Crossroads Inn
135 Crossroads Terrace
Zion Crossroads, Virginia 22942
I 64 Exit 136 @Zion Crossroads

Sanction IlI Event

All Entries are due by MAY 23, 2018
Limited to first 60 lifters with paid applications.

Meet Director: John Shifflett  **valifting@aol.com ** 434-985-3932

Host City: Zion Crossroads

Date:Saturday, June 16, 2018

Venue: Best Western Crossroads ** 135 Wood Ridge Terrace ** Zion Crossroads, VA 22942

The hotel is located right off Exit 136 I 64 in Zion Crossroads  (use 100% Raw block)

http://www.bestwesternvirginia.com/hotels/best-western-crossroads

Time: Doors open – 8:00 AM Saturday 6:30 PM Friday night for Strict Curl

Weigh-in: Friday, 4-6 PM Saturday 7:00-8:00 AM

Technical Meeting: Saturday 8:15 a.m.

Scales: Digital scale

Arrivals/Transportation: Ample parking is available. For best directions, please go to www.mapquest.com.

IHOP restaurant located at the hotel.

Identification:Photo Identification is necessary for security, to verify every lifter’s entry information, and to help validate drug testing. Acceptable identification includes driver’s license, state ID, school ID, passport. Work ID badges and recreational/social club ID’s are not acceptable.

Federation Membership Fee:Current federation membership is required. Cards only available online

http://rawpowerlifting.com/join-us/registration/

Entry Fee: All fees should be paid by May 23, 2018

TAKING THE FIRST 60 LIFTERS TO ENTER- No Refunds/Transfers

Awards: Medals for Top Five in each place & age and weight class

Crossovers are for age or to other lifts. Ex Full Power & Bench Press Total $125

Correspondence (email preferred): Correspondence regarding 100% Raw Powerlifting Federation Virginia events should be sent to thevalifting@aol.comor US mail to John Shifflett 186 Happy Hollow Road Ruckersville, VA 22968.

Attire

4th Lift

Order of Events

Awards

Singlet is mandatory.

Athletic shoes only

Tee-shirt (no profanity or XXX)

Knee high socks for Deadlifts

World & National Record attempts only.

1. Lifting

2. Awards

Given directly after the Deadlift

3. Drug testing


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ATHLETES MUST COMPLETEAND SIGN THE RAW RELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY,AND THE PARENTAL CONSENT AGREEMENT (“AGREEMENT”)

Release, Waiver of Liability, Assumption of Risk, Indemnity,and parental Consent Agreement (“agreement”)

In consideration of being permitted toparticipate in a 100% RAW (“activity”) I, my personal representatives, assignedheirs and next to kin:

1.ACKNOWLEDGES, agree, and represent thatI understand the nature of the activity and that I am qualified, in good healthand in proper physical condition to participate in such activity.I further agree and warrant that if at anytime I believe conditions to be unsafe; I will immediately discontinue furtherparticipation in the activity.

2.FULLY UNDERSTAND that:(a) ATHLETICACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDINGPERMANENT DISABILITY, PARALYSIS, ANDDEATH(“Risks”):(b) these Risks anddangers may be caused by my own actions or in actions of others participatingin the activity, the condition in which the activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMEDBELOW: there may be OTHER RISKS ANDSOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeableat this time:and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALLRESPONSIBILITY FOR LOSSES, COSTS, ANDDAMAGES I incur as a result of my participation or that of the minor in theactivity.

3.HEREBY RELEASE, DISCHARGE, AND COVENANT NOTTO SUE the 100% RAW Powerlifting Federation Inc., John Shifflett LLC, JohnShifflett, William Thacker, Best Western Crossroads Inn, related affiliated andsubsidiary companies of each, as well as the officers, directors, agents,employees and assigns of each, coaches, officials, administrators, members,volunteers, participants, sponsors, advertisers, and if applicable, owners andlessors of premises on which the activity takes place, and any other partyindemnified and held harmless by 100% RAW POWERLIFTING, (each considered one ofthe “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSES,OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BYTHE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUEOPERATIONS, NEGLIGENT SECURITY, TRAVEL, ANDRECREATIONAL OPERATIONS AND ACTIVITIES; AND I FURTHER AGREE thatif, despite this RELEASE AND WAIVER OFLIABILITY, ASSUMPTION OF RISK, AND INDEMNITYAGREEMENT I, or anyone on my behalf, makes a claim against any ofthe Release’s, I WILLINDEMNIFY, SAVE, AND HOLD HARMLESS EACH OFTHE RELEASEES from any litigation expense, attorney fees, loss, liability,damage, or cost which any may incur as the result of such claim.

4.Drug Testing Statement, Agreement, & Release of Liability

I give my word as an athletethat I have not utilized any type of strength-including chemicals (anabolicsteroids, growth hormone, etc.) for the past five years (June 15, 2015 to June 16, 2018)

In consideration of theacceptance of this entry, I agree to any test method deemed necessary by themeet director(s) and that the results of said testing method which the meetdirector and/or sponsors of this meet use to detect the presence of thestrength inducing drugs may be released to any third party(ies) and I generallyand specifically waive any right to privacy if any, related there to.

I hereby waive and release,intending to be legally bound for myself, my executors, administrators, andheirs, all rights and claims for damages I may have against 100% Raw powerliftingInc., John Shifflett LLC, John Shifflett, William Thacker, Best WesternCrossroads Inn , and all parties associated with the ”2018 100% RAW Inc, AmericanChallengeas a result of testingpositive for the utilization of strength-inducing chemicals.

My entry into the ”2018100% RAW American Challenge l” constitutes my consent to the testing procedures; and, if any suchresults test positive, I understand that I shall be disqualified form thepertinent competition and suspended for a period to be fixed by the meetdirector(s).

IHAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVEGIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUTANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE ANDUNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAWAND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THEBALANCE, NOT WITHSTANDING, SHALL CONTINUE IN FULL FORCE AND EFFECT.

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Minor’sRELEASE

AND I, THE MINOR’S PARENT AND/OR LEGALGUARDIAN, UNDERSTAND THE NATURE OF ATHLETIC ACTIVITIES AND THE MINOR’SEXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TO BE QUALIFIED, IN GOODHEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATE IN SUCH ACTIVITY.I HEREBY RELEASE, DISCHARGE, COVENANT NOT TOSUE, AND AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE’SFROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR’S ACCOUNTCAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE“RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHERAGREE THAT IF, DESPITE THIS RELEASE.ITHE MINOR OR ANYONE ON THE MINOR’S BEHALF MAKES A CLAIM AGAINST ANY OF THERELEASEES NAME ABOVE, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THERELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE,OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.