LilMendy
03-25-2011, 04:11 PM
JUST A REMINDER, THE MEET IS GETTING CLOSER! LET'S GET IN THOSE APPLICATIONS! WE ARE ALLOWING RAW, SINGLE PLY, AND MULTI-PLY LIFTERS. SQUAT, BENCH AND DEADLIFT. YOU CAN DO ALL 3, YOU CAN DO PUSH/PULL OR YOU CAN DO BENCH ONLY!! COME ON DOWN AND JOIN US! GOING TO TO BE A FUN DAY! BELOW IS THE APPLICATION. YOU CAN ALSO EMAIL ME FOR ONE.
NO APPLICATIONS ARE BEGIN ACCEPTED THE DAY OF THE MEET! THANK YOU! SEE YOU ALL SOON :yep:
SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
2011 APF FULL POWER CHAMPIONSHIPS
April 16th, 2010
Entry Form
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 SINGLE- PLY MULTI-PLY 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)
Fees & Payment:
Late fee after 3/30/2011 $50 $___________
APF# _________ Exp. Date ________
Entry fee Powerlifting $75 $_______
Entry Fee Bench $50 $___________
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 16TH, 2011.
SIGN HERE X_____________________________________
RETURN ENTRY FORMS TO: MAKE CHECKS PAYABLE TO SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
THENEWGYM@GMAIL.COM Phone 516 993-6378
NO APPLICATIONS ARE BEGIN ACCEPTED THE DAY OF THE MEET! THANK YOU! SEE YOU ALL SOON :yep:
SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
2011 APF FULL POWER CHAMPIONSHIPS
April 16th, 2010
Entry Form
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 SINGLE- PLY MULTI-PLY 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)
Fees & Payment:
Late fee after 3/30/2011 $50 $___________
APF# _________ Exp. Date ________
Entry fee Powerlifting $75 $_______
Entry Fee Bench $50 $___________
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 16TH, 2011.
SIGN HERE X_____________________________________
RETURN ENTRY FORMS TO: MAKE CHECKS PAYABLE TO SHAWNA MENDELSON
ALL NATURAL GYM 163 SOUTH 11TH STREET LINDENHURST, NY
THENEWGYM@GMAIL.COM Phone 516 993-6378