The Pit Barbell Club presents
An A.D.F.P.F.
INTERNATIONALPOWERLIFTING QUALIFIER
Competition in
POWERLIFTING
Including
EQUIPPED &
UNEQUIPPED Divisions in all Weight Classes & Categories
The AMERICAN DRUG-FREE POWERLIFTING FEDERATION
is a Not-For Profit organization, established to provide a service for
drug-free lifters. As the U.S.
affiliate to the World Drug-Free Powerlifting Federation, Inc., ADFPF members
have the opportunity of participating Internationally against other WDFPF
drug-free lifters. By participating in
the OCTOBER 4th event, lifters who reach the WDFPF Powerlifting Qualification totals will be eligible to
sign up for a slot on one of the U.S. Teams entering the 2008 WDFPF
POWERLIFTING WORLD CHAMPIONSHIPS held in EVANSVILLE, IN on NOVEMBER 22nd
(UNEQUIPPED Division) & 23rd (EQUIPPED Division).
Although in existence for several years, the
ADFPF has only recently started to keep AMERICAN NATIONAL & STATE
POWERLIFTING & SINGLE EVENT records
in all weight classes & categories for men and women.
DATE: OCTOBER 4, 2008
MEET DIRECTORS: Michael E. Stagg
(812-204-3755) & DICK CONNOR
(812-867-1736)
E-mail: stagg@insightbb.com
VENUE: THE PIT BARBELL CLUB; 400 EDGAR STREET;
EVANSVILLE, IN
ENTRY FEE: $20.00 for ONE DIVISION (UNEQUIPPED or
EQUIPPED) & CATEGORY (see below); $5.00 for an additional DIVISION or
CATEGORY. Make checks payable to
MICHAEL E. STAGG; 6000 Lake Shore Dr; Evansville, IN 47720
ENTRY DEADLINE: ENTRIES must be POSTMARKED BY MONDAY,
September 29th.
WEIGHT CLASSES (in Kilos): To change POUNDS to Kilos, DIVIDE POUNDS by 2.2046. To change KILOS to Pounds, MULTIPLY KILOS by
2.2046.
WOMEN: 44; 47.5; 50.5; 53.0; 55.5; 58.5; 63.0;
70.0; 80.0; 90.0; & +90.0.
MEN: 52.0; 56.0; 60.0; 67.5; 75.0; 82.5;
90.0; 100.0; 110.0; 125.0; 145.0; +145.0.
AWARDS: Promoting DRUG-FREE Powerlifting while
providing participants with the opportunity of qualifying for the W.D.F.P.F.
POWERLIFTING WORLD CHAMPIONSHIPS, is the focus of this event. Entry fees are minimal allowing payment for
the drug testing. No awards, no
placings & no records; you either qualify or not.
DRUG TESTING: Athletes should be prepared for full IOC
Drug Testing following all WDFPF Rules, Regulations and procedures. A minimum of 10 % of participants will be
tested. Selection may be made via
placing/totals, records set and at the discretion of the ADFPF.
A.D.F.P.F. Membership required: Membership forms are available on the website: www.adfpf.org forms will also be available at
the meet. A.D.F.P.F. membership fee is
$20.00 and can be paid by check, money order (made out to the A.D.F.P.F.) or by
cash.
DIVISIONS & Personal equipment:
UNEQUIPPED
Division: The only supportive equipment allowed in this
Division is the lifting BELT and WRIST WRAPS (if desired). All EQUIPMENT MUST MEET A.D.F.P.F.
Specifications as listed in the ADFPF Rulebook.
Page 2:
EQUIPPED Division: All equipment
must meet ADFPF specifications as listed in the Rulebook.
SQUAT EVENT: Supportive equipment
includes a SINGLE PLY SQUAT SUIT, BELT, KNEE WRAPS & WRIST WRAPS. A NON-SUPPORTIVE T-Shirt must be worn under
the SQUAT SUIT. SUPPORTIVE BRIEFS are NOT allowed.
BENCH PRESS EVENT: Supportive equipment
includes a SINGLE PLY BENCH SHIRT with closed seams (OPEN BACK NOT ALLOWED no
are FASTENERS),may NOT be made of CANVAS, BELT & WRIST WRAPS. A non-supportive singlet must be worn over
the shirt. If no supportive shirt is
worn, a T-shirt must be worn.
DEADLIFT EVENT: Supportive equipment includes a SINGLE PLY
SUIT, BELT, KNEE WRAPS and WRIST WRAPS.
SUPPORTIVE BRIEFS are NOT allowed.
CATEGORIES:
AGE-related categories will be
determined by legal age on October 4th:
OPEN (14 yrs upward) TEENAGE 1 (14 through 15 years)
TEENAGE 2 (16 through 17 years) TEENAGE 3 (18 through 19 years)
JUNIOR (20 through 23 years) MASTERS’ (starting at age 40 in
5 year increments) POLICE/FIRE/MILITARY FULL-TIME
EMPLOYMENT required; Open category only)
SCHEDULE:
SATURDAY,October 4th:
7:00 a.m. to 8:30 a.m.: Weigh-In & Equipment Check for all lifters. Bring proof of age to
Weigh-In along with
A.D.F.P.F. Membership Card.
8:50 a.m.: RULES BRIEFING.
9:00 a.m.: Competition will begin.
HOTELS:
The COMFORT INN; 8331 East
Walnut; EVANSVILLE, IN; 47715 (1/2 mile from the venue; numerous
dining/shopping options nearby).
Breakfast is INCLUDED there is a POOL & WIRELESS internet in public
areas and free hi-speed internet in rooms. PHONE: 812-476-3600.
The FAIRFIELD INN WEST: 5400 Weston
Road; EVANSVILLE, IN; 47712 (1 mile from venue). EVANSVILLE WEST. Phone:
812-429-0900
DIRECTIONS TO HOTEL & VENUE:
The best way to get directions is on your computer via
Mapquest.com. type in your address (from) and then type in “The Pit’s” address
(to) and it will give the directions. I
will list below some additional direction if you do not have access to
Mapquest.
From the West:
Come into Evansville going east on the Lloyd Expressway and take the Franklin
Street exit go east on Franklin and turn left on Edgar (Berry Plastic is on the
right) and go one block, gym is on the left.
From the East:
Come into Evansville going west on the Lloyd Expressway and take the Garvin
Street exit and go North to Franklin go west on Franklin to Edgar and go north
one block to the gym.
From the North:
Come into Evansville on Hwy 41 South and take the Lloyd Expressway exit going
west take the Garvin Street exit and go North to Franklin to Edgar and go north
one block to the gym.
From the South:
Come into Evansville on Hwy 41 North and take the Lloyd Expressway exit going
west take the Garvin Street exit and go North to Franklin to Edgar and go north
one block to the gym.
If all else fails
call the gym at 1-812-422-0617
Entry form for the
2008 A.D.F.P.F. POWERLIFTING QUALIFIER
for POWERLIFTING
Competition
ENTRY DEADLINE: Entries including
entry fees must be POSTMARKED by MONDAY,
SEPTEMBER 29th. Late Entries MAY be accepted depending on number
of entries. Entry forms &
Fees to be mailed to: MICHAEL E. STAGG; 6000 Lake Shore Dr;
Evansville, IN 47720.
Please type or print CLEARLY:
Complete NAME:
Date
of Birth:
- ___-__
(First) (Middle
Initial) (Last) (
Mo.- Day - Year )
Full postal ADDRESS:
Age on day of
competition: ______
PHONE #: _________________
FAX #:
___________________
ADFPF
Registration Number: E-mail address: ________________________
Circle
gender: FEMALE MALE Competition
WEIGHT CLASS: __________
Please CIRCLE
Powerlifting DIVISION and CATEGORIES.
UNEQUIPPED Powerlifting:
Open;
Teen 1; Teen
2; Teen 3; Junior; Masters’ age ; Police/Fire/Military
(14-15) (16-17)
(18-19) (20-23) (40-unlimited) (full time
employment)
EQUIPPED Powerlifting:
Open;
Teen 1; Teen
2; Teen 3; Junior; Masters’ age ; Police/Fire/Military
(14-15) (16-17) (18-19)
(20-23) (40-unlimited)
(full time employment)
PREVIOUS BEST UNEQUIPPED COMPETITION LIFTS:
SQUAT: ; BENCH
PRESS: ;
DEADLIFT: ; TOTAL: _____
PREVIOUS BEST EQUIPPED COMPETITION LIFTS:
SQUAT: ; BENCH
PRESS: ;
DEADLIFT: ; TOTAL: _____
Have you ever been drug tested? _____. Date
of last drug test: __________
ENTRY FEES: POWERLIFTIN 1 Division; 1 Category = $20.00.
$5.00 for any additional EVENT, DIVISION and/or
Category. Checks & Money Orders
payable to MICHAEL E. STAGG; 6000 Lake Shore Dr;
Evansville, IN 47720.
RELEASE FROM LIABILITY and CONSENT TO DRUG TEST:
NOTE: (Please read
this release very carefully as when you sign it, you will be giving up
important legal rights)
In consideration of the acceptance of my entry
form for the October 4th, 2008 Powerlifting competition, I intend to be legally bound
not only for myself, but also my heirs, my executors and my administrators.
In signing this
release from liability, I waive and release anyone connected with this
competition; i.e. The Pit Barbell Club, the American Drug-Free Powerlifting
Federation, the meet staff, or any persons associated with the competition from
any and all liability, including any results of negligence which may arise from
this competition.
Additionally, I understand that
Powerlifting is an inherently hazardous activity and that participation in this
sport exposes me to the risk of injury or death. I further understand that the A.D.F.P.F. will NOT reimburse me
for, or coverage of any medical expenses incurred by me as a result of injuries
which I might sustain, training for, traveling to or from, or participating in
the competition.
Moreover, I agree that any testing method selected by A.D.F.P.F. recognized testing officers may be applied to detect the presence of drugs, as listed on the International Olympic Committee (IOC) banned substances list SHALL BE CONCLUSIVE. I agree to co-operate fully with all required IOC sampling and testing procedures. This includes any testing procedures that may be considered necessary prior to or after this event.
Should I fail to pass
the drug testing procedures, I agree to forfeit any trophy, award, record or
placing which I won during the championships and I also forfeit any previous
trophy, award, record or placing should the offence be deemed serious enough,
according to ADFPF rules, to warrant such an action. I understand and agree that if I fail to pass the drug testing
process, my name will appear on a published list of suspended members. If determined that I have failed the drug
test, I agree to waive any claim for which legal relief is available. I also agree to waive any claim that might
arise under state or national law for defamation, slander, libel, or any other
claim for which legal relief is available.
Additionally, I
realize that if I do not attend this event for any reason, I will forfeit all
entry fees that will not be exchanged.
I agree to pay any
attorney fees and litigation expenses incurred by any person real or corporate,
whom I may sue in an effort to challenge this release from liability.
I understand that my
agreement to pay attorney fees and litigation expenses is the SINE QUA NON for
acceptance of my entry in this competition.
If any provision of this Release From Liability shall be deemed by a
court of competent jurisdiction to be invalid, the remainder of this Release
from Liability shall remain in full force and effect. I also certify with my signature that this release/agreement
cannot be modified orally.
Signature of athlete: . Date: _____________
Signature of parent/guardian: . Date: _____________
(if lifter is under 18 years of age)
Certification:
I hereby give my word of honor as an athlete
that I have not used any strength inducing drugs (I.e., any anabolic steroid,
natural hormone or synthetic growth hormone) as part of my training during the
past sixty months (five years), nor have I used or will I use prescription
diuretics or psychomotor stimulants during the seven days prior to this
competition.
Signature of athlete: . Date: _____________