2017 Iron Tiger Last Chance Qualifier / Open
Saturday, March 25th, 2017
Iron Tigers Weightlifting Club
University of Memphis
495 Zach Curlin H Street
Elma Roane Field House, Room 254
Memphis TN 38152
$45 Individual, $50 Team Entry
Make all checks payable to Iron Tigers Weightlifting – for mail in entries only
Mail To (if not registering on-line)
Att: Robert Townsend / Iron Tigers Weightlifting
University of Memphis
Field House 106
Memphis TN 38152
March 10th, 2017
USAW Membership is required for athletes. Please make sure your membership is valid through the end of the competition (03/25/17). USAW number and expiration date are required on the official entry form. Athletes are required to be registered as YOUTH, JUNIOR, SENIOR or MASTER athlete.
Athletes can only enter in one group – Youth, Junior, Senior or Master
Proof of Entry: In the event of a dispute regarding the timely submission of the Entry Form, all lifters must have proof of having mailed the Entry Form to the meet director. To ensure evidence of timely submission, you are encouraged to mail the entry form by Certified Mail and Return Receipt Requested or register online.
Eligibility: All lifters properly registered with USAW as Youth, Junior, Senior or Master Athletes on or before March 10th, 2017. Participants must show proof of age (ID with birthdate, i.e. Driver’s License or Birth Certificate) and of current registration (USAW Card) at the time of weigh-in. Failure to produce these documents will prevent participation in the competition.
Weight Classes (kg):
Men (Juniors 15-20yrs, Seniors >15yrs, Masters >35yrs): 56, 62, 69, 77, 85, 94, 105, 105+
Women (Juniors 15-20yrs, Seniors >15yrs, Masters >35yrs): 48, 53, 58, 63, 69, 75, 75+
Youth (13-17yrs) Men: 50, 56, 62, 69, 77, 85, 94, 94+
Youth (13-17yrs) Women: 44, 48, 53, 58, 63, 69, 69+
(Masters age categories: 35-39, 40-44, 45-49, 50-54, 55-59, 60-64…..)
TECHNICAL MEETING The technical meeting will be held Saturday March 25th at the Competition Venue. The meeting will take place at 8:30AM at the competition venue.
Awards: Medals will be presented to first, second, and third for totals only per weight class and division (Youth, Junior, Senior, Masters). Best Lifter for Youth, Junior, Senior and Master Divisions based on Sinclair Formula. Team Awards for first, second, and third (male and female combined for one team score).
Weigh-In: All weigh-ins will take place at the weigh-in office at the competition venue. Field House Rom 171 at 7:00am (two hours prior to the start of competition) Women will weigh in first at 7:00am. Men will begin once all women lifters are weighed. There will be a maximum of 60 minutes allowed for re-weighing if a lifter does not make weight. At 8:00am weigh in will be closed. Additional weigh in times will be announce if multiple sessions are used.
Competition Time: Lifting begins at 9:00am. The number of sessions will be determined by total number of entries. Attempts will be made to keep all sessions to approximately 15 lifters (20 lifters maximum). A final start list will be made once all entries are received on March 10th, 2017. Sessions will be prioritized in the following order (Youth / Juniors, Women, Men). In the event of an extraordinary high number of entries, weight categories will be used for session order. The final start list will be made available by March 15th
2017 Iron Tiger Weightlifting Open March 25, 2017 ************************************************************************
Individual Official Entry Form Please clearly TYPE or PRINT all information
Please enter me in the ______ kilogram class_____ age group ___ male ____female of the 2017 Iron Tiger Last Chance Qualifier / Open at the University of Memphis. In consideration of my entry in this competition, I do hereby waive, and release the USA Weightlifting, University of Memphis, Tennessee Board of Regents, Iron Tigers Weightlifting Club, their directors, officers, and agents, the meet director, competition personnel, volunteers, and all other related parties from any and all actions, liability, claim, and demands of every kind and nature that I or my heirs or personal representatives may have for bodily injury, for expenses of medical treatment, hospitalization, and other costs, damages or losses suffered or incurred by me in connection with my travel to and from the meet and my participation in the competition and related activities.
I agree that the USA Weightlifting, University of Memphis, Tennessee Board of Regents, Iron Tiger Weightlifting Club, and their agents (including competition personnel and volunteers) may make judgments with appropriate input from available medical personnel as to my treatment, hospitalization or other medical care in the event of my illness or accidental injury in connection with my participation in the competition should I be disabled or incompetent to make necessary and appropriate decisions concerning such treatment, hospitalization or other care. I authorize the USA Weightlifting, University of Memphis, Tennessee Board of Regents, Iron Tigers Weightlifting Club and its agents (including competition personnel and volunteers) to make decisions for me as though they stood in a relationship to me of parent, guardian, or next of kin should circumstances require the aforementioned to make judgments and provide that my next of kin cannot be timely and /or conveniently contacted to participate in the making of such judgments. I hereby, release and agree to hold the USA Weightlifting, University of Memphis, Tennessee Board of Regents, Iron Tiger Weightlifting Club and their agents (including personnel and volunteers) harmless for all expenses, causes of action, liability, claims, and demands arising from good faith judgments made by the aforementioned concerning my treatment, hospitalization and medical care in the event of my illness, injury and/ or other emergency circumstances in connection with the competition.
I agree that I will be financially responsible for the treatment, hospitalization and other medical care received by me in the event of my illness, injury and / or other emergency circumstances in connection with the competition: except to the extent my injury and medical expenses, if any, are covered by accidental death, dismemberment, loss of sight, and medical reimbursement policies: in which event, I will nevertheless continue to be financially responsible for expenses of treatment, hospitalization and other medical care in excess of such policies limits.
I agree to be filmed and photographed under conditions approved and authorized by the USA Weightlifting, University of Memphis, Tennessee Board of Regents, Iron Tiger Weightlifting to include the use of my name, biological information, public appearances, interviews, photographs, portraits, motion pictures and television recordings of my Weightlifting performances and grand to the USA Weightlifting, University of Memphis, Tennessee Board of Regents, Iron Tiger Weightlifting Club and its right to record and make sure of the same and to authorize others to do so in promoting the competition and the success of the Weightlifting team on which I compete to promote the image of the USA Weightlifting, University of Memphis, Tennessee Board of Regents, Iron Tiger Weightlifting its sponsors, advertisers, and the sport of Olympic Weightlifting. Furthermore, I declare that I agree to the contents of the IWF Rule Book, pursuant to its latest revision at the time of his competition.
2017 Iron Tiger Last Chance Qualifier / Open March 25th, 2017, Memphis, Tennessee ************************************************************************
Last (family) Name __________________________________________________
First (given) Name __________________________________________________
Street Address ______________________________________________________
City/Town __________________________________ Postal Code _____________________ Telephone ________________/___________________/_____________________
(Work) (Home) (Emergency)
E-Mail address (Please print legibly) ____________________________________________ Date of Birth ____________________Day ______________ Month_________Year ______
Age at 31st of December 2017 ________ USAW #________________Exp Date_________
Announced Entry Total: ________ kg. Wt. Class: ___________kg
REFEREE STATUS Are you willing to serve as a referee? ( ) Yes ( ) No
At the time of weigh-in, each lifter must present following documents. Identification with birth date (Driver's license, birth certificate, or government ID showing front face and their date of birth). Lifters who do not show documentation at the time of their weigh-in agree that they will not participate in the competition.
Having read and understood all of the above stated provisions, I, hereby, submit my Entry Form.
Parent / Guardian Signature if athlete is under 18 years of age \
Signature ________________________________________ Date__________________
2017 Iron Tiger Last Chance Qualifier / Open March 25th, 2017 Memphis, Tennessee
OFFICIAL TEAM REGISTRATION
Please enter the following Team in the 2017 Iron Tiger Last Chance Qualifier / Open. Enclosed is a check in the amount of $50.00, payable to Iron Tiger Weightlifting. Each lifter on this roster must submit an individual entry indicating he represents this club. Men's teams consist of 8 athletes and 3 reserves. Women's teams consist of 7 athletes and 2 reserves. Each team is only allowed 2 team members competing in the same age group and body weight category. All teams must be registered as clubs with USA Weightlifting.
Team entries mailed in must be postmarked no later than March 10th, 2017. Proof of mailing is required; please see Page 1 “Proof of Entry.” Final Team Rosters are due in the hands of the Competition Secretary no later than 8:00 AM on March 25th, 2017.
USAW Club Name:_______________________________________________ 2017 USAW Club #:_______________________________________________
Club Contact Person: _________________________________________
City: ________________________State: ______________Zip: _________________
MEN and WOMEN
Best Total 1.
Club Official’s Signature:_________________________________________ Date:__________________