LilMendy
12-19-2010, 01:00 PM
HEY GUYS A NEW YEAR IS ON THE WAY AND SO ARE SOME NEW GOALS! COME JOIN US FOR THE APF NYS CHAMPIONSHIPS ON APRIL 9TH 2011!
ALL ARE WELCOME: RAW, MULTI PLY, SINGLE PLY.
BELOW IS THE ENTRY FORM.
HAVE A GREAT HOLIDAY!
SHAWNA MENDELSON
2011 APF
FULL POWER CHAMPIONSHIPS April 9th, 2010
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
ALL ENTRIES MUST BE IN NO LATER THEN MARCH 30TH! I AM NOT TAKING ENTRIES THE DAY OF THE MEET!!!
Competitor:
Last Name First Name MI
Address __________________________________________________ _______________________
City _________________________________ State ____________ Zip Code _________________
Home Phone _______________________ Work Phone ______________________ Age ________
e-mail ___________________________________________ Date of Birth _____________________
Division Entered: PLEASE CIRCLE : RAW EQUIPMENT
□Open □Junior 20-23 □Teen13-15 □16-17 □18-19 □Submaster 33-39
□Masters 40-44 □45-49 □50-54 □55-59 □60-64 □65-69 □70-74 □75-79 □80-84
□ Police/Fire/Military
Class Entered Men: 114 123 132 148 165 181 198 220 242 275 308 SHW
Class Entered Women: 97 105 114 123 132 148 165 181 198 Unl
Men □ Women□ Wt Class____________ □Powerlifting □Bench Press □Both (must lift in both)
Entry Fee FULL Power $75 $_______
Entry Fee Bench ONLY $50 $___________
Late fee after 3/30/2011 $50 $___________
APF# _________ Exp. Date _____
TOTAL DUE $___________
Paid: □Cash □ Money Order/Cashiers Check
Waiver:
In consideration of the acceptance of this entry, I hereby for myself, my heirs, executors, and administrators waive and release any and all rights and claims for damages I may have against the APF, AAPF, Shawna Mendelson, ALL NATURAL GYM, their representatives, successors, and assigns for any and all injuries or bodily harm that I might suffer while competing at the 2010 APF NY State Championships, APRIL 9TH, 2011. SIGN HERE X
RETURN ENTRY FORMS TO: MAKE CHECKS PAYABLE TO SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
[email protected]
:yep:
ALL ARE WELCOME: RAW, MULTI PLY, SINGLE PLY.
BELOW IS THE ENTRY FORM.
HAVE A GREAT HOLIDAY!
SHAWNA MENDELSON
2011 APF
FULL POWER CHAMPIONSHIPS April 9th, 2010
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
ALL ENTRIES MUST BE IN NO LATER THEN MARCH 30TH! I AM NOT TAKING ENTRIES THE DAY OF THE MEET!!!
Competitor:
Last Name First Name MI
Address __________________________________________________ _______________________
City _________________________________ State ____________ Zip Code _________________
Home Phone _______________________ Work Phone ______________________ Age ________
e-mail ___________________________________________ Date of Birth _____________________
Division Entered: PLEASE CIRCLE : RAW EQUIPMENT
□Open □Junior 20-23 □Teen13-15 □16-17 □18-19 □Submaster 33-39
□Masters 40-44 □45-49 □50-54 □55-59 □60-64 □65-69 □70-74 □75-79 □80-84
□ Police/Fire/Military
Class Entered Men: 114 123 132 148 165 181 198 220 242 275 308 SHW
Class Entered Women: 97 105 114 123 132 148 165 181 198 Unl
Men □ Women□ Wt Class____________ □Powerlifting □Bench Press □Both (must lift in both)
Entry Fee FULL Power $75 $_______
Entry Fee Bench ONLY $50 $___________
Late fee after 3/30/2011 $50 $___________
APF# _________ Exp. Date _____
TOTAL DUE $___________
Paid: □Cash □ Money Order/Cashiers Check
Waiver:
In consideration of the acceptance of this entry, I hereby for myself, my heirs, executors, and administrators waive and release any and all rights and claims for damages I may have against the APF, AAPF, Shawna Mendelson, ALL NATURAL GYM, their representatives, successors, and assigns for any and all injuries or bodily harm that I might suffer while competing at the 2010 APF NY State Championships, APRIL 9TH, 2011. SIGN HERE X
RETURN ENTRY FORMS TO: MAKE CHECKS PAYABLE TO SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
[email protected]
:yep: