World Bench Face-Off
Entry Registration Form
Host Venue:
Mountain Island Fitness, 10030 Callabridge Court, Charlotte, NC 28216
When:
October 17-18, 2020
Federation Chairman:
Bill Clary
Sanction by:
365 Strong World Powerlifting Federation
Separate Classifications:
Drug “Tested” or “Untested” Competition
Divisions: >Open >Masters >M/P/F >Para-Lifters (Special Olympians)
Event Categories:
Bench
Press Only
Early Weigh–Ins:
At the event venue
(Saturday Competitors),
Friday, October 16, 2020
: 10:30 am-1:00 pm and 4:00-6:30 pm
(Sunday Competitors),
Saturday, October 17, 2020
: 10:30 am-1:00 pm and 3:30-6:00 pm
Meet Day - Late Weigh-ins
: 6:45-7:45 am
Weigh-in Check List:
Include, Check-in (membership card, varify country, payment status), First Lift Attempts, Weigh In, Equipment Check, Bar Heights (SQT and BP), T-shirt, Lifter Pass and Program Distribution
Eligibility Options:
1) Athletes must provide proof for posting a qualifying bench at any sanctioned event, qualifying benches for all "tested" and "untested" divisions are listed on this site. 2) Received an official 365 Strong Invitation for winning a World Bench qualifier, 3) An athlete is a current national record holder for your division and weight class (any federation) and 4) Any other athlete receiving an official 365 Strong Invitation is officially eligible to participate.
Federation Membership:
Athletes that have not yet become a 365 SWPF member may choose between becoming a Lifetime Member for $45 or an Annually renewable membership for $30.
Standard Entry Fee:
$
100
M/P/F and Para-Lifters (Special Olympians) Entry Fee:
$90
Crossover Fee:
$
50
(Entering more than one division)
Country or Team Entry Fee (in conjunction with World Games):
$
100
, teams must consist of 5 or more competitors
Deadline/Late Entries:
All Entries MUST be received by
September 28, 2020
or risk being added to a roster "Waiting List" and await a roster opening and must pay a Late Entry Fee of $
50
.
NO ENTRIES ACCEPTED AFTER OCTOBER 3, 2020
!
Uniform:
Mandatory - Must have one piece lifting suit or wrestling singlet. 365 Strong rules apply, Rulebook found on our website at 365strong.org.
Mandatory Rules Briefing:
Begins @ 7:45am on day of competition.
Opening Introductions & Lifting Begins:
At approximately 9:00am each day
Awards:
1-3rd place all Divisions/Weight Classes, Best Division Lifter and Best Lift awards.
Event Schedule
(subject to change)
:
Saturday October 17th Competition:
All Female "Tested" & "Untested" Divisions and the following
Weight Classes
: 44k/
97.0lb, 48k/105.8lb, 52k/114.6lb, 56k/123.4lb, 60k/132.2lb, 67.5k/148.8lb, 75k/165.3lb, 82.5k/181.8lb, 90k/198.4lp, and 90.1+k/198.5+lb (Unlimited)
Male "Tested" & "Untested" Divisions and the following Weight Classes
:
52k/114.6lb, 56k/123.4lb, 60k/132.2lb, 67.5k/148.8lb, 75k/165.3lb, 82.5k/181.8lb, 90k/198.4lb
Sunday October 18th Competition:
Male "Tested" & "Untested" Divisions and the following Weight Classes
:
100k/220.4lb, 110k/242.5lb, 125k/275.5lb, 140k/308.6lb, 140.1k/308.7+lb (SHW)
Methods of Payment:
Checks Payable to: “365 SWPF”
Website:
www.365strong.org
(PayPal online)
Return Address:
365 SWPF, PO Box 253, Fort Mill, SC 29716
Contact Numbers:
Bill Clary: 704/236-1899
Website:
www.365strong.org
Email:
info@365strong.org
RELEASE OF LIABILITY WAIVER (READ BEFORE SIGNING and return with entry form with entry fee)
In consideration of being allowed to participate in any way in at the
"World Bench Face-Off" @ the
World Powerlifting Games 2020
, sanctioned by the 365 Strong World Powerlifting Federation, its related events and activities, I The undersigned, acknowledge, appreciate, and agree that: 1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and, 3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the 365 Strong officials immediately; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Meet Directors and Federation Chairman Bill Clary, 365 STRONG World Powerlifting Federation LLC, Event Host Mountain Island Fitness, Facility Owner - Marc Anderson, all venue personnel, 365 Strong officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, media companies and, if applicable, owners and lessors of premises used for the activity ("Releases"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releases, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.
Name
Address:
City, State/Province, Zip:
Country
Email
Phone
Other Phone
Date of Birth:
Country / Team:
Select Qualifying Option:
Achieved Qualifying Total or Lift
365 Strong Meet Qualifier
365 Strong Invitation
Juniors Only
Qualifying Total/Lift and/or Meet:
Current Records Held:
Membership Status:
Enter Yes (you applied today) or No (you will apply at weigh-ins)
Choose Category:
"TESTED" (drug test consent)
"UNTESTED"(no drug test consent)
Lifting Preference:
You may change your preference at weigh-ins.
Raw
Equipped Single-Ply
Unlimited Geared Multi-Ply
Division Categories Entering:
Open
Masters (40+)
M/P/F (military, police, firefighter)
Para-Lifter / Special Olympian
Lifting Competition Entering:
Bench Press (only)
Men's Weight Class Entering:
52.0 kg/114.6 lb
56.0 kg/123.4 lb
60.0 kg/132.2 lb
67.5 kg/148.8 lb
75.0 kg/165.3 lb
82.5 kg/181.8 lb
90.0 kg/198.4 lb
100.0 kg/220.4 lb
110.0 kg/242.5 lb
125.0 kg/275.5 lb
140.0 kg/308.6 lb
SHW Class (140.1 kg or 308.7 lbs and up)
Women's Weight Class Entering:
44.0 kg/97.0 lb
48.0 kg/105.8 lb
52.0 kg/114.6 lb
56.0 kg/123.4 lb
60.0 kg/132.2 lb
67.5 kg/148.8 lb
75.0 kg/165.3 lb
82.5 kg/181.8 lb
90.0 kg/198.4 lb
90.1+ kg and up or 198.5 lbs and up
I agree to abide by all terms of the Entry Information and the Waiver General Release:
YES
NO
Meet T-Shirt Size:
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Adult XXXL
Adult XXXXL
Walk-up Lifting Song
Please provide the name of your song and artist.
Lifter Name Confirmation
Parent or Guardian Approval (if under 18 years old)
Further Comments
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