Missouri State

Open & 3rd Annual Missouri State High School Championships

Equipped & Unequipped Powerlifting, Bench Press Only, Push/Pull & Power Sports

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This Is An Anabolic Steroid Free Competition - Testing May Be Conducted

Date: Saturday, February 13th, 2010

NEW Location: Carthage Jr. High P.E. Annex 710 Lyon St. Carthage Missouri (Map Quest for easy directions)

Hotel Information

Econo Lodge 1441 W Central Carthage, MO 64836 Phone: 417-358-3900 (Director's Choice), NASA Discount Offered

Super 8 Motel 416 W Fir Road Carthage, Mo 64836 Phone: 417-359-9000

Meet Director: Rich Peters, P.O. Box 735, Noble, OK. 405-527-8513 sqbpdl@aol.com

Official Weigh-In Times

Early Weigh-In: 8:00-9:00 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 10:00 am Saturday

Rules: All Current NASA Rules will apply. See the 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 are $15.00 per year. All lifters MUST wear a Wrestling Suit or other one piece suit. All Canvas Equipment is Illegal. Open Back Bench Shirts are Illegal as of 1-1-07.

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 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 Shirts & Suits are Illegal. Open Back Bench Shirts are Illegal as of 1-1-07.

Bench Only Lifters: May use single ply Bench Press Shirts, Legal Wrist Wraps and Belt. Open Back Bench Shirts are Illegal as of 1-1-07.

Push/Pull: Single Ply equipment only. No Canvas Material allowed. Push/Pull consists of Best BP and Best DL for Total.

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+

Definitions -

"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 Canvas Shirts & Suits are Illegal as of 3-1-01.

"Unequipped Powerlifting" Lifters: May use a 4" wide lifting belt and wrist and knee wraps only. Consists of Squat, Bench press and Deadlift.

"Bench Only" Lifters: May use single ply Bench Press Shirts, Legal Wrist Wraps and Belt. No Canvas

"Push Pull" Lifters: Consists of the Total of your best BP and DL. May use single ply equipment and wraps.

Definitions - Equipment Allowed

Powerlifting, Push Pull, Equipped BP: Single Ply Suits, BP Shirts and Wraps are allowed. Open Back Bench Shirts are Illegal as of 1-1-07.

Unequipped Powerlifting & Bench Press: Wrist Wraps, Knee Wraps and Belt allowed. No Supportive Suits and/or BP Shirts allowed.

Power Sports: (Curl, BP & DL) No Supportive Equipment is allowed except a 4" wide lifting belt.

Divisions for Powerlifting, Bench Only,Push/Pull & Power Sports (Raw)

Pure: Lifetime Anabolic Steroid Free.

Police, Fire & Military: Full Time Police, Fire & Military Personnel, Anabolic Steroid Free for minimum 3 years.

Natural: Anabolic Steroid Free for minimum 3 years.

Novice: Lifetime Anabolic Steroid Free, never won first in any NASA National Meet.

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. Entry Fee $35.00

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-Master Pure: 30-39 years of age, Anabolic Steroid Free for Life.

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+ years of age, Anabolic Steroid Free for minimum 3 years.

Masters-4: 70+ years of age, Anabolic Steroid Free for minimum 3 years.

Masters Pure: 40+ years of age, Lifetime Anabolic Steroid Free lifters only.

Awards: 1^st thru 5^th Place Awards for each weight class in each Division for Powerlifting and Power Sports Contests. Awards will consist of Column Trophies, Extra Large Plaques and Large Plaques.

Return Entry and Entry Fee’s

Rich Peters, P.O. Box 735, Noble, OK. 73068

Or you may enter on-line from our web site at www.nasa-sports.com

Entry Fee’s

Equipped & Unequipped Powerlifting, Push/Pull & BP Only: $50.00 for first division entered, $30.00 for each additional entry. Late Fee after Deadline Date is $5.00 additional fee for first division entered. Cash Only for all late entries. All High School Entries $40.00 per division entered.

“Power Sports” Raw, Totally Unequipped - Entry Fee’s

Full Meet (Curl, BP & DL) = $50.00 High School Entries $40.00 per High School division entered.

Power Sports INDIVIDUAL Events - Entry Fee - Awards in Each Individual Event Entered

Strict Curl Only= $50.00

Bench Only=$50.00

Deadlift Only= $50.00

Combination of Any Two Events (2 Total Divisions, 2 Awards) = $80.00

Any 3 Individual Events (3 Total Divisions, 3 Awards) =$110.00

Any 3 Individual Events (4-Total Divisions, 4 Awards) = $140.00

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 1^st thru 3^rd for Powerlifting, Bench Press Only and Power Sports Teams. Maximum of 10 members per team.

--------------(Official NASA Entry Form)------------

2010 Missouri State Championships Late Fee Begins: February 8th, 2010

Name:____________________________ Weight Class: Age:_

Address:____________________________ City:_________________

St:___ Zip:__________

E-mail Address:_____________________________ Phone: (____)_______________

Full Equipped Powerlifting Meet Divisions Entered: _____, _____, _____, _____

Full Unequipped Powerlifting Meet Divisions Entered: _____, _____, _____, _____

Bench Press Only (equipment allowed):_____, _____, ______, ______, ______

Unequipped Bench Press: _____, _____, ______, ______, ______

Power Sports (raw) Full Meet Divisions Only- _____, ______, ______, ______,

Push/ Pull Events- ______, ______, ______, ______,

Total Amount Enclosed : $_______ Check #_______ Total Number of Divisions Entered:____

Credit Card - Visa____ Master Card____ American Express____ Discover____

Card #-_______ _______ _______ ________ Expires-_______

I realize this Competition is an Anabolic Steroid Free Meet and I may be Tested by Urinalysis

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, NASA Powerlifting, the facility used, McAuley High School, the respective School District 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 realize that if I use the False Grip or Open Grip that it is a dangerous method of BP'ing and I assume full responsibility if I choose to use this method to BP. 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 also certify, by my signature (initials if entering by internet), that I have read this waiver and fully understand and accept it’s terms. I do hereby verify my acceptance by my signature below. I also give NASA, Rich Peters and all other parties involved in this meet permission to post my name and make my name public if I fail any Drug Test. 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:________

STEP 1 - Complete Entry Form and Submit

NASA Missouri State PayPal Credit Card Entry Form Only

Late Fee's Begin February 8th, 2010

First Name- Last Name-

Wt. Class- Age- DOB- Phone-

   Address- City-

   State- Zip-        E-mail Address-

   Equipped Powerlifting Division(s) Entered -, ,

    Unequipped Powerlifting Division(s) Entered -, ,

   Equipped Bench Only Division(s) Entered -, ,

    Unequipped Bench Only Division(s) Entered -, ,

   Power Sports Full Meet Division(s) Entered -, , ,

   Power Sports Individual Events entered- , , ,

   Push Pull Divisions Entered (i.e. Pure, Open, M-1 etc)- ,

    Total Number of Divisions Entering-

    Total Amount of Entries- $ (Don't forget to pay by PayPal below the Submit Button or call in your Credit Card info)

    You MUST submit this entry along with the PayPal Payment below to be entered in this meet. To pay by Credit Card without PayPal you must submit this entry form and then call 1-405-527-8513 to give credit card info by phone.

Comments or Questions-

Read this Waiver Completely Before Submitting - All Unsigned Entries Will Be Returned
IN CONSIDERATION OF YOUR ACCEPTANCE OF THIS ENTRY, I HEREBY WAIVE, FOR MYSELF, MY HEIRS, AND ASSIGNS, ANY AND AL L CLAIMS FOR INJURY OR DAMAGES WHICH I MAY INCUR BY VIRTUE OF MY COMPETING IN THIS MEET AS AGAINST RICH PETERS, N.A.S.A.,,the McAuley School and their school system AND ALL OF THEIR AGENTS AND EMPLOYEE'S . I ALSO REALIZE THAT THE SPORT OF POWERLIFTING IS A HIGH RISK SPORT AND I COULD BE SERIOUSLY INJURED. I ALSO REALIZE I AM RESPONSIBLE FOR MY OWN SAFETY WHILE USING THE WARM-UP AREA. I CERTIFY THAT I AM IN GOOD HEALTH AND HAVE NO SERIOUS HEALTH PROBLEMS AND ASSUME FULL RESPONSIBILITY FOR SUCH CONDITIONS. I HAVE READ AND FULLY UNDERSTAND THIS WAIVER AND ASSUME ALL RISKS FOR INJURY, AND DO HEREBY VERIFY MY ACCEPTANCE OF THIS WAIVER BY MY SIGNATURE OR INITIALS. DO NOT SIGN BEFORE READING THIS DOCUMENT FULLY AND CAREFULLY. I agree to the terms of this waiver and do so indicate by my submission this Credit Card Entry.

I Realize that this Competition is an Anabolic Steroid Free Meet
I to the terms of this waiver (Initials)- Parents must verify/sign if lifter is under 18 years of age/

I will be paying by the following method -

Security Word - nasa101

Please type Security Word, nasa101, here-

After you submit the Entry Form, please pay below - Entry is Incomplete until you pay.

STEP 2 - Pay Your Entry Fee
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Entry Fee's

Enter All Divisions You Are Entering In This Space - Be Specific, i.e. Masters, HS, Novice

Order Your NASA Card On Line NOW using PayPal

1 Year Adult Membership - $30.00

1 Year High School Membership - $15.00