The 2015 Wisconsin High School
State Powerlifting Meet
March 14th – 15th 2015
Hosted By: NAPLA Necedah Powerlifting
This is a USAPL sanctioned event
Entries Must Be Postmarked By – Wednesday, March 4th, 2015
NO LATE ENTRIES ACCEPTED
***ALL ATHLETES MUST/PROVIDE PROOF OF HAVING A VALID USAPL MEMBERSHIP TO PARTICIPATE IN THE MEET***
Visit the USAPL Website to secure your USAPL CARD/MEMBERSHIP
LOCATION OF MEET: Necedah High School High School
1801 S. Main, Necedah, WI 54646
MEET DIRECTOR'S PHONE and E-MAIL
Erich MachCell-(608) 547-8681 Work-(608)547-8681
MEET FORMAT:
- A $40.00 dollar Entry Fee for State Meet THIS DOES NOT INCLUDE USAPL CARD
- Running one Division for lifters 9th – 12th Grade.
- 3 Sessions (Session I Saturdaya.m.)
(Session II Saturday p.m.)
(Session III Sunday a.m.)
- Individual Awards will be given after each session with Team Awards presented after session II for girls and boys after session III.
- This will be run as a four platform meet
- 10 minute break after each event on the individual platforms. Platforms will run independent from one another.
- Flights of lifters may be shifted for deadlifts ONLY if one platform is ahead of schedule.
- Announcer and (Marksteiner Program) will be used. Overheads will be available for Back-Up
- Meet Results will be run with Microsoft Excel Spreadsheet
LIFTING INFORMATION
This is a preliminary schedule, weight classes are subject to change as in the past.
Lifting ScheduleSessions / Weight Class / Registration / Equipment Check / Weigh-Ins / Rules Meeting / Lifting Start Time
Session I
Saturday March 14th / Session I
Girls’ Division 97-148 / 7:00-8:30 am
(Entrance back Gym) / 7:00-8:30 a.m.
(Entrance back Gym) / 7:00-8:30 a.m.
(Locker Rooms) / 8:00 a.m. / 9:00 a.m.
Saturday March 14th / WHSPA Meeting (7:30 a.m. in Library)
Session II
Saturday March 14th / Session II
Girls’ Division 165-198+
Boys’ Division 114-132 / 12:30-2:00 p.m. / 12:30-2:00 p.m. / 12:30-2:00 p.m.
(Locker Room) / 2 p.m. / 2:30 p.m.
Session III
Sunday March 15th / Session III
Boys’ Division 148-275+ / 7:00-8:30 am
(Entrance back Gym) / 7:00-8:30 a.m.
(Entrance back Gym) / 7:00-8:30 a.m.
(Locker Rooms) / 8:00 a.m. / 9:00 a.m.
MEET AWARDS:
- Lifter Medals 1st – 5th
- Lifter Trophies1st – 3rd
- Best Lifter Trophies 1st – 3rd for Boys & Girls
- Team Trophies 1st – 3rd Place for Boy’s Team & Girl’s Teams in Divisions 1, 2, & 3
Early Equipment Check:
Friday, March 13th 5 to 6:30 P.M.
This is a USAPL sanctioned event
Entries Must Be Postmarked By – Wednesday, March 4th, 2015
Entry Fee $40.00 per lifter
THIS DOES NOT INCLUDE USAPL CARD
USAPL CARDS MUST BE PURCHASED PRIOR TO THE EVENT. WITH PROOF OF MEMBERSHIP REQUIRED TO LIFT AT THIS EVENT
(Please Make Checks Payable to NAPLA Powerlifting)
State Meet T-Shirts will be available at the Meet
Programs $3.00
Daily Admissions will be $10.00 Adults $7 Students 5 and under Free
Event (2) Day Admission will be $18.00 Adults $12 Students
Team Entries are automatically calculated at the Scoring Table. However, TEAM FORMS WILL BE USED AS A BACK UP AND ARE EXPECTED TO BE DONE. Lifters must attend the school of the Powerlifting Team that they represent. In order for a Powerlifting Team to receive a trophy, they must have at least one coach who is a paid WHSPA Member. Coaches can pay the $20.00 WHSPA Membership at the Coaches Meeting on Saturday March 14th at 7:30 A.M.
All Lifters must be in good academic standing at their school and may not have any athletic or extracurricular code violations in order to compete in the WHSPAState Powerlifting Meet. A school administrator must sign an “Athlete Good Standing Form” verifying that all participants from their school have met the “Good Standing” criteria.
As acoach, athlete or team, when you arrive at the venue, you must enter in the back of the school and enter ENTRANCEA ONLY. You can stop at the registration table to pick up your team folder, check in lifters, submit USAPL membership forms, and submit Athlete Good Standing Forms. Once lifters are registered then proceed to the rear of the Main Gym for equipment check-in.
NO COOLERS are allowed into the GYM.
Teams will get one coach’s wristband for every five lifters. Extra wristbands can be purchased for $5.00/Wristband for any assistants.
2015WHSPA STATE POWERLIFTING
ENTRY FORM
Name:______Address:______
City:______State:______Zip:______Phone#:______
Age:______D.O.B.______Grade: Freshman Sophomore Junior Senior
Male: _____ Weight Class: 114 123 132 148 165 181 198 220 242 275 275+
Female:_____Weight Class: 97 105 114 123 132 148 165 181 198 198+
What Meet Did You Qualify At: ______Date of The Meet:______
What Weight Class Did You Qualify At: ______What WasThe Total Pounds Lifted: ______
Best Qualifying Total of The Season:______USAPL Card #:______
What Weight Class Do You Plan To Lift At State:______
What School Do You Attend:______Head Coach’s Name:______
In consideration of your accepting this entry, I hereby for myself and my heirs, release any & all rights for
damages for injuries I may have against Necedah High School, USA Powerlifting, NAPLA, Erich Mach and any/all other meet associates, staff, spotters, loaders, all sponsors, referees as a result of my traveling to, and/orparticipating in the above listed competition. I make this release and waiver of claim with full knowledge of thehazards and inherent rights associated with the above listed competition. I hereby assume the risk of injury and
property damage/loss.
Also, in consideration of accepting this entry I hereby sign over my rights to be videotapedand/or photographed, to the meet directors and/or his designee. I am fully aware that I will receive noroyalties and/or compensation for resale of the videotapes and/or photos.
RELEASE FROM LIABILITY AND CONSENT TO DRUG TEST.
IMPORTANT: READ THIS RELEASE CAREFULLY, BY SIGNING THIS FORM
YOU WILL BE GIVING UP IMPORTANT LEGAL RIGHTS.
In consideration of the acceptance of my entry in this Powerlifting competition I intend to be legally bound fornot only myself, but also my heirs, my executors, and my administrators. In signing this release from liability I waive and release everyone connected with the competition from any and all liability, including any results ofnegligence which may arise from this competition. Moreover I agree that any testing method which the meetdirector and the sponsors of this meet use to detect the presence of strength-inducing drugs SHALL BECONCLUSIVE. That is, whether I think results of the test are right or wrong I agree that I have no right tochallenge the results of the drug test. I further agree to submit to any physical test, which may be necessary tocomplete drug testing. Should I fail to pass drug test, I agree to forfeit any trophies or awards. I otherwise havewon. I understand and agree that if I fail to pass the drug test, my name will appear on a published list ofsuspended members. If it is determined that I have failed the drug test, I agree to waive any claim for whichlegal relief is available. I agree to pay any attorney fee and litigation expenses incurred by any person, real orcorporate, whom I may sue in an effort to challenge this Release from liability form. I understand that myagreement to pay attorney fees and litigation expenses is the Sino Qua Non for the acceptance of my entry inthis contest. I also certify with my signature that this release/agreement cannot be modified orally.
Certification: I hear give my word of honor as an athlete that I have not used any strength inducing drugs (i.e.anabolic steroid, natural hormone or synthetic growth hormones) as part of my training during the past 36months, nor have I used prescription diuretics or psychomotor stimulants during the seven days prior to thismeet. I also certify that the information regarding my qualifying total is accurate true information.
To be signed by Lifter, Parent/Guardian and Coach
______
(Signature of Lifter) (Date) (Team)
______
(Signature of Parent/Guardian)(Date) (Signature of Coach) (Date)
2015 WHSPA STATE POWERLIFTING
PAYMENT FORM
Send Entry Forms & Checks To:
ATTN: Erich Mach
Necedah Area High School
1801 S. Main
Necedah, WI 54646
This is a USAPL Sanctioned Event.
If you have any questions about the 2015 Wisconsin High School State Powerlifting Meet, you can contact the meet director or visit our site.