Power for a Purpose 2015

The fifth annual Power for a Purpose returns to Viking Performance Training! This will be sanctioned under the USPA banner and records will be on the line for the squat, bench, deadlift, and total! Come out and lift for a great cause: Stepping Stones, the recreation center for people with disabilities!

DEADLINE: Entries must be postmarked/mailed (or use this online form) by November 29th! Entries mailed after deadline must pay late fee of $20. No entries accepted on day of contest. It’s much easier to sign up online here: www.vikingperformancetraining.com

Eligibility: Any male or female age 13 years or older. Lifters must be current USPA members. Memberships are $30 for adults (High School- $15) and good for one year from date of purchase. Must purchase online before contest at http://uspla.org/home/uspa-membership-application.

Raw, Raw Classic (knee wraps allowed), & Single-Ply offered for full power (Squat, Bench, and Deadlift). Multi-Ply offered for Bench and Deadlift only.

SCHEDULE: Early weigh-in/gear check: Friday, Dec 11, 5pm-7pm.

Regular weigh-in/gear check: Saturday, Dec 12, 7am-8am.

(All Lifters) Rules Briefing/Warmup: Saturday, Dec 13, 8:30am.

Lifting Begins: Saturday, Dec 13, 9:30am.

AWARDS: Top 3 in each class/division, Best Lifter (one male, one female), Top 3 Money Raised
Please put as much effort into GATHERING SPONSORS FOR THE CHARITY as you do into your lifting! Some of our lifters in years past have raised $500 or more dollars by themsevles – if every lifter can raise just $100 imagine how much that will help Stepping Stones with new equipment for their facility, transportation expenses, new computers, their utility bills, and with their dance events, sports tournaments, and holiday parties (and it’s for kids, teens, and adults with disabilities to help improve their quality of life!). Remember why we are doing this!

*Start gathering sponsors now! There will be a special prize for Most Money Raised, and all money raised by the lifters this way will go 100% to the charity!

Email Paul Mouser for a sponsor sheet that is very helpful in gathering donations at [email protected]!*

RELEASE OF LIABILITY — READ BEFORE SIGNING and return with entry form and fee

In consideration of being allowed to participate in any way in the Power for a Purpose Powerlifting Meet sanctioned by the USPA , its related events and activities,

I, , the undersigned, acknowledge, appreciate, and agree that:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the USPA officials immediately; and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Meet Director/promoter, Viking Performance Training Center, Paul Mouser, USPA and their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT , FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT

FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE

(UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.