Muzz's Iron Mayhem Open
Meet Registration Form

Qualifying event for the 2020 World Powerlifting Games and/or the World Bench Face-Off!!
Event Host:  Owner - David Massucco and Muzz's Gym, 201 NC-268, N. Wilkesboro, NC 28659
Gym Contact Phone #:  (336) 667-4346
Event Date:  Saturday February 15, 2020  
Federation Chairmen: Bill Clary  
Sanction by:  365 Strong World Powerlifting Federation 
Division Classifications:  Drug “Tested” (Drug test consent) or “Untested” (No drug test) 
Divisions:  >Open    >Novice (Class II or below or New to sport)    >Masters (40-44, 45-49, 50-54, 55-59, etc.)    >Teenage (13-15, 16-17, 18-19)    >M/P/F    >Youth (11-12)    >Para-Lifter (Special Olympian)  
Competition: >Full Power  >Push Pull    >Squat Only    >Bench Only    >Deadlift Only
Weigh-in Location:  Muzz's Gym, N. Wilkesboro, NC
Early Weigh–Ins: Friday February 14, 2020: 10:30am – 12:30pm and 4:00pm – 6:00pm  
Late Weigh-Ins (advanced approval necessary):  February 15th (Meet Day) from 7:00-8:00am 
Eligibility:  Open to all lifting competitors, current or new members. Types of memberships, Lifetime Membership (one time fee) is $45 and the year to year Annual Membership is $30 per year.
Standard Full Power Entry Fee:  $100 
M/P/F, Para-Lifters, Youth & Teen, Push Pull, Bench, Deadlift & Push-Pull Only Entry Fee:  $85
Crossover Fee:  $50 per additional Division
Team Entry Fee:  $80 (minimum 5 per team, maximum 11 per team with 2 alternates)
Deadline/Late Entries:  All Entries MUST be received by February 5, 2019 or be charged a Late Entry Fee of $50. No lifter registration permitted after February 10th. LIMITED TO 50 LIFTERS! REGISTER EARLY TO LOCK IN ROSTER SPOT!! 
Uniform: Mandatory - Must have one piece lifting suit or wrestling singlet. 365 SWPF rules apply @ 365strong.org.
Agenda: Mandatory rules briefing is Saturday @ 8:00 am; Lifting begins at approximately 9:00am
Awards: 1st thru 3rd place for each division and weight class. Best Lifter and Team awards.
Methods of Payment:  PayPal Online Payment (preferred): 365strong.org go to the meet event page or mail check or money order to "365 Strong Powerlifting" at PO Box 253, Fort Mill, SC 29716
Contact Numbers:  Bill Clary: 704/236-1899 
Federation Website / Email:  Website: www.365strong.org and 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 Muzz's Iron Mayhem Open, Sanctioned by the 365 SWPF, 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 SWPF 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 Director/Promoter Bill Clary, 365 Strong World Powerlifting Federation, Muzz's Gym, gym owner David Massucco, all gym personnel, 365 SWPF officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, 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.