Online Sanction Form
100% Raw Sanction Form
NE State Chair, Jeremey Meyer's band.
Wait until you hear this!
100% RAW PowerliftingPresents….
Sanction III Event
Meet Director: Jeremey Meyer, 1576 Trumball Terrace, Plattsmouth, NE 68048 (402) 630-5246
Venue: Holiday Inn at Ameristar Casino * 2202 River Road, Council Bluffs, IA 51503 * (712) 322-5050
Date: Saturday June 3, 2017
Lifting: The Powerlifting, Bench Press, Deadlift & Curl will be done all on the same day. Bench Rep challenge & Deadlift Challenge Free to all Competitors.
Time: Saturday June 3, 2017: Doors open – 8am
Weigh-in: Friday: June 2nd (5-7pm) Saturday: June 3rd (8-9)am
Technical Meeting: 9:15am Lifting Starts at 9:45am.
Scales: Professional digital scale
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. Applications and memberships online.
Entry Fee: All fees should be paid by theDeadline Date: May 20,2017
Awards: Trophies, Medals, & Sponsor Prize Packages
Singlet is Mandatory ** State, National and World Records
Holiday Inn at Ameristar Casino 2202 River Road, Council Bluffs, IA 51503
Meet Director: Jeremey Meyer 402-630-5246 / firstname.lastname@example.org
$5.00 Spectator Fee (18 & Under FREE)
DRUG FREE EVENT DRUG TESTING WILL OCCUR
SANCTION III EVENTSTATE RECORDSNATIONAL RECORDSWORLD RECORDS
Eleiko Calibrated Weights
Texas Deadlift Bar
Strict Curl Plat
Rules: 100% RAW rules can be found online or by requesting from our main office. Drug testing will be conducted so be sure to take responsibility for what you put into your body. For help/info contact the USOC hotline at 1-800-233-0393 or www.wada.com.
And I, the minor’s parent and/or legal guardian, understand the nature of athletic activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity. I hereby release, discharge, covenant not to sue, and agree to indemnify and save and hold harmless each of the release’s from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to be caused in whole or in part by the negligence of the “releases” or otherwise, including negligent rescue operations and further agree that if, despite this release. I the minor or anyone on the minor’s behalf makes a claim against any of the releases name above, i will indemnify, save, and hold harmless each of the releases from any litigation expenses, attorney fees, loss liability, damage, or cost any may incur as the result of any such claim.
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, and assigned heirs and next to kin:
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.
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.
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 ( June 2014 to June 2017)
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 Federation, Inc., Paul Bossi, Jeremey Meyer, Holiday Inn @ Ameristar and all parties associated with the 2017 American Challenge - NE as a result for testing positive for banned substances and the utilization of strength-inducing chemicals. I give permission to post my name and make it public if I test positive.
My entry into the 2017 American Challenge - NE constitutes my consent to the testing procedures; and, if any such results test positive, I understand that I shall be disqualified from the pertinent competition and suspended from the federation for a 2 year term.
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.
Dr. Nick Theodorou
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