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Bench-press Competition

New Image Fitness Center

Waiver and Hold Harmless Agreement:

I understand that the bench press exercise that I perform at this meet may cause me physical injury. Such injuries could potentially result from, among other things, my attempting to lift more weight than I am capable of, improper form, or inherent physical defect. Despite this knowledge, I agree to assume the risk that such injuries may occur for any reason whatsoever, including by reason of the negligence or meet directors, sponsors, workers, and suppliers.

In addition to assuming all risks inherent in competing in this bench press meet, I also herby agree that I will not hold the meet directors or any officers of the sponsors, workers, or suppliers of equipment liable for any personal injuries that I may sustain while competing in this meet, no matter how those injuries are sustained. I understand that this is a complete waiver for my right to sue for any reason whatsoever for any injuries that I may sustain by any cause.

If, despite my signing this waiver and hold harmless agreement, I nevertheless sue any of the above mentioned persons or entities for my personal injuries, I will be liable to the person or entity that I sue in violation of this agreement for his attorney’s fees, costs and expenses.

I understand that I am signing the agreement in consideration of being permitted to compete in this event, and that I would not be permitted to compete in said event if I refused to waive my rights to sue and agree to hold the directors, sponsors, suppliers, and workers harmless.

If any portion of this agreement is later determined to be unenforceable, the remainder of the agreement shall nevertheless remain in full force and effect.

Meet Information:

Date: Sat. August 16, 2008
Location: New Image Fitness Center
307 Broad St.
Waverly, NY
Weigh-ins: 8:00 am
Competition: 9:30 am sharp
Divisions: Teenage, Womens, Open Submasters, Masters (age Divisions: 40-44, 45-49, 50-54, 55-59, 60-64)

Weight Classes:

Teenage: Open
Women: Light weight (132 lbs. & under)
Heavy weight ( over 132 libs)
Open: 114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 303, supers
Submasters, Masters: (Classes as above plus age group divisions)

Awards:

1st three places each class & division
    Best Lifter: Male
    Best Lifter: Female
    1st two places TEAM

TROPHIES WILL BE HANDED OUT TO
1ST THREE PLACES EACH CLASS AND DIVISION

Hotel Information:
Best Western
255 Spring Street
Sayre, PA
570-888-7711
New Image Fitness Center

APPLICATION:


Return to: New Image Fitness Center
Attention: Chad Stolicker
307 Broad St.
Waverly, NY 14892
607-565-4439
Return by 07/20/2008
Name:
Age:
Address:
City:
State:
Zip:
Phone:
Division:
Weight Class:
Team:
I agree to the above "Waiver and Hold Harmless Agreement".


Application Fee:
$20.00 Individual
$15.00 Per Team
$30.00 After 7/20/2008

NO PERSONAL CHECKS ACCEPTED!



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