Joshua May (847)410-5141 or e-mail: Josh_May@ymcachgo.org

STATE RECORDS CHAIRMAN

Jeff Phillips japhill2000@yahoo.com

WEIGH-IN TIMES

Early weigh-in Fri. 11/20/09 6:00pm-7:30pm or Sat. 11/21/2009 7:30am-9:00am.

LIFTING WILL BEGIN AT 10:00 A.M.

STATE & AMERICAN RECORDS CAN BE SET AT MEET.

This meet open to lifters from any state, and is a qualifier for NASA National meets

NASA HOME PAGE CAN BE ACCESSED AT WWW.NASA-SPORTS.COM

NASA REGIONAL WEBSITE http://www.vhepower.com/

AWARDS:

Awards will be in every weight class in all divisions. Awards will be 1st thru 5th in each class.

Formulas used for best lifter awards only

Large outstanding Lifter trophy for Powerlifting, Bench Press and Power Sports

WEIGHT CLASSES:

114-123-132-148-165-181-198-220-242-275-308-SHW

(Women's Division includes 97 & 105)

RULES

All NASA rules will be strictly enforced. All lifters will be required to hold a current NASA membership card. Memberships will be available for purchase at the meet. Annual dues:$30 Adult/$15 Students.

A Monolift will be used for the squats in the championship

See NASA web page for full listing of all rules WWW.NASA-SPORTS.COM. A one piece lifting suit is required.

See NASA web page for details on new Power Sports Pro Division

DEFINITION OF MEETS

Powerlifting - Squat, Bench & Deadlift for Total. Legal supportive equipment may be used for all lifts.

Bench Only - Single ply shirts & wrist wraps may be used.

Power Sports Full Meet & Individual Lifts - No supportive equipment allowed except a 4' belt & singlet.

Push/Pull – Combination of best bench press & best deadlift = Total. Single ply suit, wrist wraps & knee wraps may be used.

DIVISIONS:

Pure: Lifetime Anabolic Steroid Free.

Novice: Lifetime Anabolic Steroid Free & Never Placed First in Any Meet.

Natural: 3yrs. Anabolic Steroid Free.

Sub Masters: 30-39yrs. old 3yrs. Anabolic Steroid Free.

Sub Masters Pure: 30-39yrs. old Lifetime Anabolic Steroid Free.

Masters-1: (40-49) 3yrs. Anabolic Steroid Free.

Masters-2: (50-59) 3yrs. Anabolic Steroid Free.

Masters-3: (60+Up) 3yrs. Anabolic Steroid Free.

Masters-5 (Pure): (40 & Up) Lifetime Anabolic Steroid Free.

Juniors: 13-23yrs. old Lifetime Anabolic Steroid Free.

High School Pure: Current H.S. Student Lifetime Anabolic Steroid Free.

Law/Fire: Full Time Police & Fire Personnel, 3yrs. Anabolic Steroid Free.

ENTRY DEADLINE (Late fee applies after 11/2/2009)

Entry postmarked no later than November 2, 2009. Registration confirmations will be sent via email.

ENTRY FEE

$55.00 First division entered, $30.00 for each additional division entered PL, BP and Power Sports.

Late fee of $10.00 for first division & $5.00 for additional divisions after 11/2/2009.

HIGH SCHOOL AGE LIFTERS

$30.00 each division.

$5.00 Late fee for high school lifters after 11/2/2009

TEAM ENTRY FEE

$30.00 Powerlifting, $30.00 Bench Press, $30.00 Push/Pull, $30.00 Power Sports.

LATE ENTRIES-CASH ONLY After 11/2/2009

DRUG TESTING

THIS IS A DRUG FREE MEET - DO NOT ENTER IF YOU ARE NOT DRUG FREE!

URINALYSIS TESTING WILL BE CONDUCTED AT MEET. ALL AMERICAN RECORDS ARE SUBJECT TO DRUG TESTING! Androstene Products & Pro Hormone Gels are banned substance.

NASA tests for anabolic steroids and testosterone levels in excess of 6/1 Ratio's.

If you have any questions please consult your physician.

FOR INFORMATION ON NASA YOUTH DEVELOPMENT PROGRAM PLEASE CONTACT DAVID OYLER

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ENTRY FORM

RETURN ENTRIES & MAKE CHECKS PAYABLE TO:

Leaning Tower YMCA 6300 W. Touhy Ave Niles,IL 60714 Attn: Joshua May

2009 NASA SANCTIONED

YMCA GREAT LAKES REGIONAL Powerlifting, Bench Press,

PUSH/PULL & POWER SPORTS CHAMPIONSHIPS

DEADLINE (Late fee applies after 11/2/2009)

Name:______________________________Weight Class:___________________

Address:___________________________City:________________State:_____

Zip:__________Phone:_(___)_______________E-Mail___________________

Age:_______DOB:____________Current NASA Card Expiration Date:________

DIVISIONS

(Print in full what divisions you're entering - Bench, Power Sports and/or 3-Lift.)

3-Lift Division(s) Entered:

1.___________2.___________3.___________

Bench Press Division(s) Entered:

1.___________2.___________3.___________

Power Sports (Curl, Bench Press & Deadlift=Total) Full Meet Only Division(s):

1.___________2.___________3.___________

Power Sports Individual Lifts entered:

1.___________2.___________3.___________

Push/Pull Division (s) Entered:

1.___________2.___________3.___________

# of entries:___________________Total Enclosed:_$__________________

Credit Card:____________________Credit Card Number:________________

Expiration Date: _______________Name on Card:______________________

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 competing in this meet as David Oyler, Joshua May; Leaning Tower YMCA; YMCA Chicago; NASA, Rich Peters, their agents and employee's. I also swear that I am anabolic steroid free for the time period I so indicated by the division I have carefully chose to enter. I also agree to present myself in a timely fashion for any and all Drug Testing that I might be asked to submit. Failure to submit to drug testing will be grounds for ban of a period of three years which is the same period for a positive steroid test. Testosterone levels over 6/1 ratio will disqualify me from NASA and this meet. If found positive for drug test NASA has the right to publish your name under the suspended lifter list. I also certify that I am in good physical health and I am not knowingly competing in this competition against any Dr.'s orders or recommendations. I also realize that powerlifting, Bench Pressing and Power Sports are High Risk Sports and I could very well be injured. I release the promoter and above mentioned individuals and owners of any liability for injury or loss if any such injury occurs. I also realize that I use the reverse or open (thumb not locked around bar) Grip for the Bench Press, I am greatly increasing my chances of personal injury. I fully accept the risk that I may take for my own actions in performing my lifts in this meet and the warm-up area. I also realize that spotter/loaders are not provided in the warm-up area and I shall provide my own, for my own safety. I hereby release David Oyler, Cheryl Targos; Leaning Tower YMCA; YMCA Chicago; NASA, the Owner of the meet location, and any and all agents and employees of such from any and all claims for injury and loss that I might incur by my participation in this even, in the warm-up area and my travel to and from the meet. I do so by signing below. DO NOT SIGN BEFORE READING THIS DOCUMENT FULLY AND CAREFULLY.

_______________________________ ________________________________

Signed Date Parent (If Not 18)