2007 TX USPF / TEXAS POWERLIFTING FEDERATION

POLICE & FIRE OPEN

PUSH PULL ONLY

October 13, 2007 · The Austin YMCA

5315 Ed Bluestein Blvd, Austin Texas 78752

FRIDAY October 12: Early Weigh-Ins 12:00 noon - 10 p.m.

SATURDAY October 13: Weigh-Ins/Equipment Check 6:00 - 9:00 a.m.

Admission Fee (Includes all non-lifters): $10; Meet Director: Tim Bruner

Name:__________________________Age:_____ M or F:_____Phone:(____)_________

Address__________________________________________ Email:___________________

Circle weight class and division entered:

97......105......114.....123......132.....148.....165......181.......198.....220......242.....275.....308......SHW

ENTRY FEE: $50

ATHLETIC RELEASE: In consideration of my entry, I hereby waive all claims for myself, my administrators and my heirs against any/all officials, sponsors, or organizations connected with the TEXAS USPF / TEXAS POWERLIFTING FEDERATION and the "2007 TX USPF / TPF POLICE AND FIRE OPEN" which may occur while participating in this competition.

I understand that powerlifting contests can be hazardous and am fully aware of these hazards.

I hereby certify that I am physically fit to participate.

SIGNATURE:____________________________________DATE:_________

Parent's Signature if under 18:______________________________________

SEND SIGNED ENTRY/FEES TO: TX USPF 4025 Duval, Apt # 2333 Austin TX 78759