2018 POTOMAC OPEN- CLASSIC POWERLIFTING
BENCH PRESS/DEADLIFT/STRICT CURL CHAMPIONSHIPS

TYSON’S PLAYGROUND
8502-B TYCO ROAD
VIENNA, VIRGINIA 22182

Meet Director: John Shifflett

Host City: Vienna, VA

Date: Saturday, March 17, 2018

Time: Doors open – 8.00 AM

Weigh-in: Friday 5:00-6:00 PM Saturday 7:00- 8:00 AM

Lifting: 9:00 AM

Technical Meeting: Saturday 8:15 AM

Scales: Digital scale

Arrivals/Transportation: For best directions, please go to www.mapquest.com.

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. Applicants should submit a completed membership form along with payment prior to weigh-ins. Cards must be ordered online

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

Entry Fee: All fees should be paid by, Feb 24, 2018

 $85 First lift $40 per Crossover to age group or Multi lift event. IE Powerlifting & Bench Press $125

Awards: Trophies for top five places in each weight class for each event, Powerlifting, Bench Press and or Deadlift. Trophies or Medals for Crossovers in each weight class..

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

valifting@aol.com or US mail to John Shifflett 186 Happy Hollow Road Ruckersville, VA 22968.


Attire:

Singlet is mandatory. * Athletic shoes only * Tee-shirt (no profanity or XXX) ** knee high socks for Deadlifts

Order of Events:

  1. Squat
  2. Bench Press
  3. Deadlift
  4. Drug testing

4th Lift: 

World & National Record attempts only

Awards: 

Given directly after the Deadlift

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ATHLETES MUST COMPLETE AND 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 to participate in a 100% RAW (“activity”) I, my personal representatives, assigned heirs and next to kin:

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

2. FULLY UNDERSTAND that: (a) ATHLETIC ACTIVITIES INVOLVE RISKS AND DANGERS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY, PARALYSIS, AND DEATH (“Risks”): (b) these Risks and dangers may be caused by my own actions or in actions of others participating in the activity, the condition in which the activity takes place, or THE NEGLIGENCE OF THE “RELEASEES” NAMED BELOW: there may be OTHER RISKS AND SOCIAL AND ECONOMIC LOSSES either not known to me or not readily foreseeable at this time: and I FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR LOSSES, COSTS, AND DAMAGES I incur as a result of my participation or that of the minor in the activity.

3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the 100% RAW Powerlifting Federation, John Shifflett LLC, Paul Bossi, John Shifflett, William Thacker, Tyson’s Playgound, related affiliated and subsidiary 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 and lessors of premises on which the activity takes place, and any other party indemnified and held harmless by 100% RAW POWERLIFTING, (each considered one of the “RELEASEES” herein) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS, NEGLIGENT SECURITY, TRAVEL, AND RECREATIONAL OPERATIONS AND ACTIVITIES; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Release’s, I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE 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 athlete that I have not utilized any type of strength-including chemicals (anabolic steroids, growth hormone, etc.) for the past three years (March 17, 2015 to March 17, 2018)

In consideration of the acceptance of this entry, I agree to any test method deemed necessary by the meet director(s) and that the results of said testing method which the meet director and/or sponsors of this meet use to detect the presence of the strength inducing drugs may be released to any third party(ies) and I generally and 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, and heirs, all rights and claims for damages I may have against 100% Raw Powerlifting Inc, John Shifflett LLC,Paul Bossi, John Shifflett, William Thacker, Tyson’s Playgound, and all parties associated with the ”2018 100% RAW Potomac Open CHAMPIONSHIPS, Powerlifting, Bench Press, Deadlift as a result of testing positive for the utilization of strength-inducing chemicals.

My entry into the ”2018 100% RAW Potomac Open CHAMPIONSHIPS, ” constitutes my consent to the testing procedures; and, if any such results test positive, I understand that I shall be disqualified form the pertinent competition and suspended for a period to be fixed by the meet director(s).

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID, THE BALANCE, 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.