Meet Director: Tom Hirtz, (541) 953-7946 hvyath@aol.com

Weigh in: 0900 - 1000 All Lifters

Lifting begins: 1100 All Lifters

Entry Fee: $30... Checks payable to Heavy Athletics.

Late Entries: $40... IN HANDS (entry must be in Meet Dir.’s hands on 4/14)

Eligibility: All USAW registered lifters.

Awards: 1^st, 2^nd, 3^rd, per wt. class.

Note: No women’s bar will be used. Single session, max 25 lifters.

Men: 47, 51, 56, 62, 69, 77, 85, 94, 105, 105+

Women: 43, 48, 53, 58, 63, 69, 75, 75+

NOTE: Valid Entries MUST Include Photocopy of Current USAW Reg. Card

Fill Out Completely Entry Form Fill Out Completely

Checks: Payable to Heavy Athletics

Mail to: Heavy Athletics P.O. Box 2085, Jasper, OR 97438

In consideration of your accepting this entry, I waive and release any and all rights and claims for damages against the Meet Director and IronWorks Gym, Heavy Athletics, USAW, and Oregon LWC. I stipulate that I have trained properly for Olympic Weightlifting and understand the risks inherent in competing in this sport.

Name (print)___________Ph. # E-Mail_

Address_____________________________________________

street city zip

Year of Birth______ Club______________ USAW #_____

Weight Class____ Official Best Snatch____ C&J____ Total____