2024 York Strongman Online 2024 York Hall of FameStrongman/Woman ChampionshipsLog Press- -FarmersWalk-Plate Hold- Wagon Wheel DeadliftYork Barbell3300 Board Road York, PA 17406Meet Director: John Shifflett 186 Happy Hollow Roadvalifting@aol.comDate: Saturday, July 20, 2024 Venue:YorkBarbellTime: Doors open to the public – 8:00 am, - Cost of Admission $10.00 - kids under12 freeWeigh-in: Friday, 2-3:30 PM Saturday by appointment onlyTechnical Meeting: Saturday, 8:15 am 100% RAW Web Site -http://rawpowerlifting.comIdentification:PhotoIdentification is necessary for security, to verify every lifter’s entryinformation, and to help validate drug testing. Acceptable identificationincludes a driver’s license, state ID, school ID, and passport. Work ID badges andrecreational/social club IDs are not acceptable.Federation Membership Fee: Current federation membership is required. Cards MUST be purchasedonline https://rawpowerlifting.com/join-us/registration/Entry Fee:Allfees should be paid by Saturday June 20, 2024Awards: Top Three lifters in all age and weight classes inboth male and female. Strongman/Woman winner's best points total from all fourlifts. Single lift lifters medals are awarded by placing in that lift.Drug Testing: This will be a drug tested event. You are responsible forwhat you put in your body. 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:*Select value130 (Women ONLY)160 (Women ONLY)190 (Women ONLY)SH (Women ONLY)160 (Men ONLY)200 (Men ONLY)250 (Men ONLY)SH (Men ONLY) Lifter Bodyweight (pounds)* Divisions- Select All that Apply*OpenTeen: 14-19Masters 40+Masters 50+ # of Crossovers $50/each (Age and Open)*NoneAge and Open Event SelectionStrongman/Strongwoman - 4 events - $100Log Press -$50Wagon Wheel Deadlift -$50Farmers Walk -$50Plate Hold -$50 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 and warrantthat if at any time I believe conditions to be unsafe; I will immediatelydiscontinue 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” NAMED BELOW:there may be OTHER RISKS AND SOCIAL ANDECONOMIC LOSSES either not known to me or not readily foreseeable at thistime: 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, York Barbell or relatedaffiliated 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% RAW POWERLIFTING FEDERATION, INC.,(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 WHOLEOR IN PART BY THE NEGLIGENCE OF THE “RELEASEES” OR OTHERWISE, INCLUDINGNEGLIGENT RESCUE OPERATIONS, NEGLIGENT SECURITY, TRAVEL, AND RECREATIONALOPERATIONS AND ACTIVITIES; AND I FURTHER AGREE that if, despite this RELEASEAND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, oranyone on my behalf, makes a claim against any of the Release’s, I WILLINDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RELEASEES from any litigationexpense, attorney fees, loss, liability, damage, or cost which any may incur asthe result of such 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 (July 20,2021 to July 20, 2024) 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. Ihereby waive and release, intending to be legally bound for myself, myexecutors, administrators, and heirs, all rights and claims for damages I mayhave against 100% RAW PowerliftingFederation, Inc., John Shifflett LLC, John Shifflett, William Thacker, YorkBarbell and all parties associated with the 2023 100% RAW York Strongman-Womanas a result of testing positive for the utilization of strength-inducingchemicals. Should I fail the drug test, I agree to forfeit my award that I mayhave won. I agree that if I fail the drug test my name will appear on a publishedlist of suspended members. If the drug test to which I submit is positive, thenI waive any claim, action or cause for which legal relief is available. Myentry into the 2024 100% Raw York Strongman-Woman Championships constitutes my consent to thetesting procedures; and, if any such results test positive, I understand that Ishall be disqualified from the pertinent competition and suspended for lifetimeby 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