2024 Eastern USA Open ONLINE 2025 Eastern USAStrongman/ Strongwoman ChampionshipsLog Press-Plate Hold-Wagon Wheel Deadlift-Farmers WalkThe Gym109 N Main StreetWoodstock, VA 22664Meet Director: John Shifflett 186 Happy Hollow Road[email protected]Date: Saturday, March 8, 2025, 12 Noon or after the powerlifting eventVenue:The Gym WoodstockTime: Doors open to the public – 8:00 am, Weigh-in: Friday, 5-6 pm - Professional Digital ScaleTechnical Meeting: Saturday, 8:15 am 100% RAW Web Site -https://rawpowerlifting.comIdentification:Photo Identification is necessary for security, to verify every lifter’s entry information, and to help validate drug testing. Acceptable identification includes a driver’s license, state ID, school ID, and passport. Work ID badges and recreational/social club IDs are not acceptable.Federation Membership Fee: Current federation membership is required. Cards MUST be purchased online https://rawpowerlifting.com/join-us/registration/Entry Fee: All fees should be paid by February 12, 2025.Awards: Top Three lifters of all ages and weight classes, both male and female. Strongman/Woman winner's best points total from all four lifts. Single lift lifters' medals are awarded by placing in that lift.Drug Testing: This will be a drug-testing event. You are responsible for what you put in your body. Men’s log pressOpen140/160/180/200Teen/master100/120/140/160Women's open 80/100/120/140Teen/master 60/80/100/120Men’s Wagon Wheel deadliftOpen285/325/365/405Teen/master 245/285/325/365Women's Open 185/215/245/275Teen/master 155/185/215/245Men’s Plate HoldOpen25/35/45/55Teen/master25/35/45/45Women’s Plate HoldOpen25/35/45/45Teen/master25/35/35/45Men’sfarmers walk 60 feet Open160/200/250/300Teen/master120/150/180/210Women'sfarmers walk 60 feetOpen130/160/190/210 Teen/master80/110/130/150 Lifter Name*FirstLast Lifter DOB*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Lifter Gender:*MaleFemale Lifter Email:* Lifter Phone* Lifter RAW Member #* Membership Expiration Date -- use mm/dd/yyyy or "Lifetime" of appropriate.* Lifter Address* Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth SudanSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Select Weight Class:*Women 130Women 160Women 190Women SHWMen 160Men 200Men 250Men SHW Lifter Bodyweight (pounds)* Divisions- Select All that Apply*Teen 14 -19Masters 40+Master 50+Open Please select event (s):*Strongman/Strongwoman (all events) - $90Log Press - $50Wagon Wheel Deadlift - $50Farmers Walk - $50Plate Hold - $50 CROSSOVERS: Open and AGE $50 *NoneOpen and Age TotalATHLETES MUST COMPLETE AND SIGN THE RAWRELEASE, WAIVER OF LIABILITY, ASSUMPTION OF RISK, INDEMNITY, AND THE PARENTALCONSENT 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, andassigned heirs and next to kin:1. ACKNOWLEDGES,agree,and represent that I understand the nature of the activity and that I amqualified, in good health and in proper physical condition to participate insuch activity. I further agree andwarrant that if at any time I believe conditions to be unsafe; I willimmediately discontinue further participation 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 readilyforeseeable at this time: and I FULLY ACCEPT AND ASSUME ALL SUCH RISKSAND ALLRESPONSIBILITY FOR LOSSES,COSTS, AND DAMAGES I incur as a result of my participation or that of theminor in the activity.3. HEREBY RELEASE, DISCHARGE, AND COVENANT NOTTO SUE the 100% RAW Powerlifting Federation Inc., John Shifflett LLC,, JohnShifflett, William Thacker, The Gym,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, andif applicable, owners and lessors of premises on which the activity takesplace, and any other party indemnified and held harmless by 100% RAWPOWERLIFTING, (each considered one of the “RELEASEES”herein) FROM ALL LIABILITY, CLAIMS,DEMANDS, LOSES, OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED INWHOLE OR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDINGNEGLIGENT RESCUE OPERATIONS, NEGLIGENT SECURITY, TRAVEL, ANDRECREATIONAL OPERATIONS AND ACTIVITIES; ANDI FURTHER AGREE that if, despite this RELEASEAND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITYAGREEMENT I, or anyone on my behalf,makes a claim against any of the Release’s, I WILLINDEMNIFY, SAVE, ANDHOLD HARMLESS EACH OF THE RELEASEES from any litigation expense, attorneyfees, loss, liability, damage, or cost which any may incur as the result ofsuch claim.4. Drug Testing Statement, Agreement, & Release of LiabilityI give my word asan athlete that I have not utilized any type of strength-including chemicals(anabolic steroids, growth hormone, etc.) for the past three years (March 8, 2022to March 8, 2025) Inconsideration of the acceptance of this entry, I agree to any test methoddeemed necessary by the meet director(s) and that the results of said testingmethod which the meet director and/or sponsors of this meet use to detect thepresence 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 legallybound for myself, my executors, administrators, and heirs, all rights andclaims for damages I may have against 100%RAW Powerlifting Federation, Inc., John Shifflett LLC, John Shifflett, WilliamThacker, The Gym and all parties associated with the 2024 100% RAW Eastern USAStrongman-Strongwoman contest as a result of testing positive for theutilization of strength-inducing chemicals. Should I fail the drug test, Iagree to forfeit my award that I may have won. I agree that if I fail the drugtest my name will appear on a published list of suspended members. If the drugtest to which I submit is positive, then I waive any claim, action or cause forwhich legal relief is available. Myentry into the 2025 100%Raw Eastern USA Championships constitutes my consentto the testing procedures; and, if any such results test positive, I understandthat I shall be disqualified from the pertinent competition and suspended forlifetime by the federation.I Have Read This Agreement, Fully Understand ItsTerms, Understand That I Have Given Up Substantial Rights By Signing It AndHave Signed It Freely And Without Any Inducement Or Assurance Of Any Nature AndIntend It To Be A Complete And Unconditional Release Of All Liability To TheGreatest Extent Allowed By Law And Agree That If Any Portion Of This AgreementIs Held To Be Invalid, The Balance, Not Withstanding, Shall Continue In FullForce And Effect. Participant Name:*FirstLast Date Signed*Minor'sRELEASEAND I, THEMINOR'S PARENT AND/OR LEGAL GUARDIAN, UNDERSTAND THE NATURE OF ATHLETICACTIVITIES AND THE MINOR'S EXPERIENCE AND CAPABILITIES AND BELIEVE THE MINOR TOBE QUALIFIED, IN GOOD HEALTH, AND IN PROPER PHYSICAL CONDITION TO PARTICIPATEIN SUCH ACTIVITY. I HEREBY RELEASE, DISCHARGE, COVENANT NOT TO SUE, AND AGREETO INDEMNIFY AND SAVE AND HOLD HARMLESS EACH OF THE RELEASEE'S FROM ALL LIABILITY,CLAIMS, DEMANDS, LOSSES, OR DAMAGES ON THE MINOR'S ACCOUNT CAUSED OR ALLEGED TOBE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OROTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS AND FURTHER AGREE THAT IF,DESPITE THIS RELEASE. I THE MINOR OR ANYONE ON THE MINOR'S BEHALF MAKES A CLAIMAGAINST ANY OF THE RELEASEES NAME ABOVE, I WILL INDEMNIFY, SAVE, AND HOLDHARMLESS EACH OF THE RELEASEES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES,LOSS LIABILITY, DAMAGE, OR COST ANY MAY INCUR AS THE RESULT OF ANY SUCH CLAIM. Guardian Name:FirstLast Guardian Phone Guardian Email: Word VerificationSubmitReset