N.A.S.A.
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2011 Nebraska Regional
Meet Equipped & Unequipped Powerlifting, BP Only, Push Pull & Power Sports© Date: Saturday, October 29th, 2011. Meet Site Info: Ramada Plaza Hotel 3321 South 72nd Street, Omaha, NE 68124 Reservations: 1-888-288-4982 Meet Director: Job Hou-Seye(statechairman@wisconsinpowerlifting.com) 1-888-J0B-H0U-SEYE Official Weigh-In Times Early Weigh-In: 6:00-7:00 pm, Friday (All Women and All Men) Regular Weigh-In: 8:00-9:00 am, Saturday (All Women and All Men) Lifting will begin at 9:30 AM on Saturday Rules: All Current NASA Rules will apply. View the entire NASA Rule Book on our Web Site at www.nasa-sports.com. NASA Membership Cards are required for this meet. Adult Cards $30.00 and High School Lifters are $15.00 per year. All lifters MUST wear a Wrestling Suit or other one piece suit. Open Back Shirts are Illegal as of 1.1.07. Deadlift Socks MANDATORY as of 1/1/2009. Unequipped Powerlifting & Bench Press: Lifters may use Wrist & Knee Wraps and a Belt. No supportive suits or shirts allowed. Power Sports© Lifters: Required to do Strict Curl, Bench Press and Deadlift. No Supportive Equipment is Allowed except a 4” Lifting Belt. One piece Lifting Suits MUST be worn. You may enter any Power Sports event as a single lift event , i.e.-Curl, BP, Squat, DL or Full meet. Powerlifting & Push Pull Lifters: May use any single ply Suits, Bench Shirts, Legal Wraps for Squat, Bench Press and Deadlift. All Canvas and Open Back Shirts are Illegal in NASA. Equipped Bench Only Lifters: May use single ply Bench Press Shirts, Legal Wrist Wraps and Belt. Men’s Weight Classes 114, 123, 132, 148, 165, 181, 198, 220, 242, 275, 308 & SHW Women’s Weight Class 97, 105, 114, 123, 132, 148, 165, 181, 198 & 198+ Visit the NASA Web Site World’s #1 Powerlifting Web Site www.nasa-sports.com American Records (Updated Monthly) Coming Events Private Secure Training Forum for Drug Free Lifters and NASA Members Only On-Line Entry Forms for ALL NASA National Meets Powerlifting, Bench Press Only, Push Pull & Power Sports© Championships Divisions for All Powerlifting, Bench Only, Push Pull & Power Sports© (Raw) Pure: Lifetime Anabolic Steroid Free. Natural (Open): Anabolic Steroid Free for minimum 3 years. Novice: Lifetime Anabolic Steroid Free, never one first in any NASA National Meet. Police, Fire & Military: Full Time Police, Fire & Military Personnel Only, Lifetime drug Free. Teenage: 13-19 years of age, Anabolic steroid Free for minimum of 3 years. High School: Currently HS enrolled lifters, Anabolic Steroid Free for life. Junior: 13-23 years of age, Lifetime Anabolic Steroid Free. Intermediate: 24-29 years of age, Anabolic Steroid Free for 3 years minimum. Sub-Master-1: 30-34 years of age, Anabolic Steroid Free for minimum 3 years. Sub-Master-2: 35-39 years of age, Anabolic Steroid Free for minimum 3 years. Sub Masters Pure: 30-39 years of age, lifetime Anabolic Steroid Free. Masters-1: 40-49 years of age, Anabolic Steroid Free for minimum 3 years. Masters-2: 50-59 years of age, Anabolic Steroid Free for minimum 3 years. Masters-3: 60-69 years of age, Anabolic Steroid Free for minimum 3 years. Masters-4: 70+ years of age, Anabolic Steroid Free for minimum 3 years. Masters-5 (pure): 40+ years of age, Lifetime Anabolic Steroid Free lifters only. Youth(5-12): 55 Lbs., 66 Lbs., 77 Lbs., 88 Lbs., 99 Lbs., 114 Lbs., then same as Adult. Awards: 1st thru 5th Place Awards for each weight class in each Division for Powerlifting and Power Sports Contests. Awards will consist of Column Trophies, Sculptures, Medals and Plaques. Definitions - Equipment Allowed Powerlifting, Push Pull and Equipped BP: Single Ply Suits, BP Shirts and Wraps are allowed. Unequipped Powerlifting & Bench Press: Wrist Wraps, Knee Wraps and Belt allowed. No Supportive Suits and/or BP Shirts allowed. Power Sports©: No Supportive Equipment is allowed except a 4" wide lifting belt. Power Sports Lifters: Required to do Strict Curl, Bench Press and Deadlift in the Full Meet. Lifters may enter any event individually. No Supportive Equipment is Allowed except a 4” Lifting Belt. One piece Lifting Suits MUST be worn. You may enter any event as a single lift event, i.e.-Curl, BP, Squat, DL or Full meet in any division(s) you are qualified, i.e. Masters-1, Novice, Pure, Open, etc. Powerlifting Lifters: May use any single ply Suits, Bench Shirts, Legal Wraps for Squat, Bench Press and Deadlift. All Open Back Shirts are Illegal as of 1-1-07. Deadlift Socks must be worn, NO EXCEPTIONS effective 1/1/2009. Unequipped Powerlifting Lifters: May use a 4" wide lifting belt and wrist and knee wraps only. Bench Only Lifters: May use single ply Bench Press Shirts, Legal Wrist Wraps and Belt. No Canvas 2011 Nebraska Regional Meet Powerlifting, Bench Press Only, Push Pull & Power Sports© Championships Return Entry and Entry Fee’s Wisconsin Powerlifting, P.O Box 565 , Sheboygan, WI. 5308 2-0565 Or you may enter on-line from our web site at www.wisconsinpowerlifting.com Entry Fee’s All Equipped Powerlifting, Benchpress & Push Pull: $60.00 for first division entered, $30.00 for each additional entry(regardless of age). Late Fee after October 19th, 2011 Deadline is $10.00, for 1st division entered. Cash Only late entries at the Event . All High School entries are $10 Less than Adult, and Youth(5-12) are $20 Less than Adults. “Power Sports©” & Unequipped PL & BP Entry Fee’s Only Full Meet (Curl, BP & DL=Total) = $50.00 Full Meet (Squat, BP & DL=Total) = $50.00 Strict Curl Only= $50, Bench Only=$50.00, Deadlift Only= $50.00 Additional Divisions are $30 for each Division(regardless of age) High School entries are $10 Less than Adult. Youth Entries(5-12) are $20 Less than Adult. Late Fee after October 15th, 2011 Deadline is $10.00 Team Entry Fee $35.00 per Team Entry. This fee is for the Team Trophy. Team Rosters MUST be turned in by the start of lifting on Saturday. Trophies for 1st thru 3rd for Powerlifting, Bench Press Only and Power Sports Teams. Maximum of 10 members per team. (Official NASA Entry Form) Name:________________________________ Weight Class:________ Age:_____ Address:____________________________ City:_________________ St:___ Zip:__________ E-mail Address:_____________________________ Phone: (____)_______________ Full Equipped Powerlifting Meet Divisions Entered: _____, _____, _____, _____ Full Unequipped Powerlifting: _____, _____, _____, _____ Unequipped Bench Press: _____, _____, _____, _____ Bench Press Only (equipment allowed):_____, _____, ______, ______, ______ Power Sports© (raw) Full Meet Divisions Only- _____, ______, ______, ______ Power Sports© Individual Events Only- _____, ______, ______, ______ Push Pull Events Only- - _____, ______, ______, ______ Total Amount Enclosed : $_______ Check #_______ Total Number of Divisions Entered:____ I realize this Competition is an Anabolic Steroid Free Meet and I may be Tested by Urinalysis. I have not used Anabolic Steroids in the last 36 months. I have not used diuretics or psychomotor stimulants in the last 10 days. In consideration of your acceptance of this entry, I hereby waive, for myself, my heirs and assigns, any and all claims for injury or damages which I may incur by virtue of my competing in this contest as against Rich Peters, Job Hou-seye, NASA Powerlifting, the facility used and any of their agents and employees. I also realize that the sport of Powerlifting is a high risk sport and that I could be injured. I certify that I am in good physical health and have no serious health problems and that I assume full responsibility for such conditions. I also realize that I am fully responsible for my well being and safety in the warm up room, on the lifting platform and while I am lifting at this event. I realize that if I use the False/Open Grip(Grip of Death), that it is a dangerous method of Benchpressing, and I assume full responsibility if I use it. I also give NASA, Rich Peters, Job Hou-Seye, and all other parties involved with this Meet permission to post my name, photos taken at the Event, and also permission to make my name public if I fail any Drug Test. I UNDERSTAND THAT IF THIS MEET INCLUDES THE SQUAT EVENT; THE AWARDS CEREMONY STARTS AFTER THE MONOLIFT BASE IS ON THE TRUCK. I also certify, by my signature, that I have read this waiver and fully understand and accept it’s terms. I do hereby verify my acceptance by my signature below. Do Not Sign This Waiver Before Reading It Fully and Carefully. If you do not accept it’s terms, DO NOT sign it. Athlete’s Signature:_____________________________________ Date:__________ Parent’s Signature if Athlete is under 18 years of age:____________________________ Date:________ |