
2007 SHAWN RAY
CLASSIC
WEIGHTLIFTING
CHAMPIONSHIPS
JUNE 2, 2007
*******************************************************************
Venue:
Colorado Convention
Center
Denver, Colorado
Sanctioned by:
Colorado
LWC
Current
USAW Rules will be followed
Entry fees:
Individual
- $65.00
(Make
checks payable to Dan Gaudreau)
Mail to:
Dan Gaudreau c/o RMLC
537
G Olathe Street,
Aurora,
CO 80011
303-475-3366
email:
rmlcco@yahoo.com
Entry deadline: Postmarked
no later than May 11, 2007
(NO
LATE ENTRIES - NO EXCEPTIONS AND NO REFUNDS)
Eligibility:
All athletes properly
registered with USA Weightlifting. Participants must show proof of
current
registration at the time of weigh-in.
Organizing committee and the USAW reserve the right
to refuse entry.
MEN’S WEIGHT CLASSES:
56, 62, 69, 77, 85, 94, 105, 105+
WOMEN’S WEIGHT CLASSES:
48, 53, 58, 63, 69, 75, 75+
WEIGH IN: All weigh-ins will be done at the
Colorado
Convention Center.
INDIVIDUAL AWARDS:
Championship awards for 1st, 2nd, and 3rd
in
each age/weight class for total only.
Men’s and Women’s best lifter awards will be given
based on Sinclair
correction formulas.
2007 SHAWN RAY CLASSIC
WEIGHTLIFTING CHAMPIONSHIPS
JUNE 2, 2007
******************************************************************************************
RETURN ENTRY TO: Dan Gaudreau c/o RMLC
537
G Olathe Street
Aurora,
CO 80011
303-475-3366
ENTRY FEES:
Individual:
$65.00
Make
check payable to Dan Gaudreau
ENTRY DEADLINE:
Postmarked
no later than May 11, 2007
NO LATE
ENTRIES WILL BE ACCEPTED. NO REFUNDS.
NO INCOMPLETE ENTRIES ACCEPTED.
******************************************************************************************
PLEASE TYPE OR PRINT
ALL INFORMATION CLEARLY
Please
enter me in the 2007
USAW Shawn Ray Classic Weightlifting Championships to be held on
June
2, 2007 at the
Colorado Convention Center in Denver, Colorado.
I certify that I am an amateur in good standing. In consideration of my entry in the
competition, I do hereby waive and release the USA Weightlifting and
its Colorado
LWC, Local Organizing Committee, its directors, officers and agents,
the meet
director competition personnel, volunteers, otherwise listed as the
Organizers,
and all other related parties from any and all actions, liability,
claim, and
demands of every kind and nature that I or my heirs or personal
representatives
may have for bodily injury, for expenses of medical treatment,
hospitalization
and other costs, damages or losses suffered or incurred by me in
connection
with my travel to and from the meet and my participation in the
competition and
related activities: except that the foregoing waiver and release shall
not
apply to injuries, damages and loss resulting from the gross negligence
or
intentional misconduct of USA Weightlifting or its Colorado LWC or bodily injuries or medical expenses covered
by accidental death, dismemberment and/or loss of sight and medical
reimbursement insurance policies maintained by USA Weightlifting.
I
agree to be filmed and
photographed under conditions approved and authorized by the USA
Weightlifting
and its Colorado LWC to include the use of my name, biographical
information,
public appearances, interviews, photographs, portrait and motion
pictures and
television recordings of my weightlifting performance and grant to the
USA
Weightlifting and its Colorado LWC the right to record and make use of
the
same, and to authorize others to do so in promoting the competition and
the
success of the weightlifting team on which I compete, to promote the
image of
the USA Weightlifting and its Colorado LWC, its sponsors and
advertisers, and
the sport of Olympic Weightlifting.
I
agree that the Organizers
may make judgments with appropriate input from available medical
personnel as
to my treatment hospitalization or other medical care in the event of
my
illness or accidental injury in connection with my participation in the
competition should I be disabled or incompetent to make necessary and
appropriate decisions concerning such treatment, hospitalization or
other
care. I authorize the USA Weightlifting
and its Colorado LWC, and its agents (including competition personnel
and
volunteers) to make decisions for me as though they stood in a
relationship to
me of parent, guardian, or next of kin should circumstances require the
aforementioned to make judgments and provide that my next of kin cannot
be
timely and/or conveniently contacted to participate in the making of
such
judgments.
I
hereby release and agree
to hold the Organizers harmless form all expenses, causes of action,
liability,
claims and demands arising from good faith judgments made by the
Organizers
concerning my treatment, hospitalization and medical care in the event
of my illness,
injury or other emergency circumstances in connection with the
competition.
I agree that I will be
financially responsible for treatment, hospitalization and other
medical care
received by me in the event of my illness, injury or other emergency
circumstances
in connection with the competition, except to the extent of my injuries
and
medical expenses, if any, are covered by accidental death,
dismemberment, loss
of sight, and medical reimbursement insurance policies: in which event,
I will
nevertheless continue to be financially responsible for expenses of
treatment,
hospitalization and other medical care in excess of such policies’
limits.
_________________________________________________________________
PLEASE TYPE OR PRINT
ALL INFORMATION CLEARLY
WEIGHT CLASS: ______________________________(enter only
one)
AGE GROUP:_______________
Male:_______ Female:_______ AGE:
___________
DATE OF
BIRTH:___________________
NAME: _____________________________________
2007 USAW REG #:
_________________
ADDRESS:
________________________________________________________________________
CITY:______________________________________ STATE:________________
ZIP:_________________
PHONE:(______)___________________________
EMAIL
ADDRESS:______________________________
USAW CLUB
AFFILIATION:___________________________________________
COACH:_______________________
SIGNATURE:______________________________________DATE:_______________
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