Contest starts at 10:00AM Sunday at the Packard Plaza, Peoria, IL.
Full Power or Benchpress- $60.00 Each additional division $35.
Entry deadline post marked by February 11,  Late entry fee $25.00
Mail Payment and Entry Form: Greg Gordon 1405 Kelsey Street, Washington, IL. 61571

24 hour weigh-in starts Saturday at 10:00AM - Noon and 6:00PM - 8:00PM. Sunday weight-in 8:00am – 9:00am at the Mark Twain Hotel next to the Packard Plaza. The Benchpress contest will be run simultaneously with the full power meet, so the lifter only has to bench once for dual entries. Valid state ID required for teen and masters entries.

An APC membership card is required to lift in this contest. Men and Women $30 Teens $15. You can purchase a card at weigh-in or on the APC website. www.americanpowerliftingcommittee-usa.com

Release from Liability. Please Read this carefully.
By signing this release you will be giving up important rights. As a participant, I understand that I am participating in a sport in which injury may occur. In consideration of my acceptance of my entry form in this powerlifting/benchpress competition, I understand that I am legally bound for not only myself but also for my heirs, my executors, and my administrators. In signing this release from liability I waive and release Gregory P. Gordon, Stephen H. Parkhurst, the American Powerlifitng Committee, The Packard Plaza and staff, all Officials, Referees, Spotter/Loaders and any other person(s) or firm taking part in this competition from any and all liability which may arise from this competition. I understand all of the above for my acceptance of my entry in this competition. By signing this entry form I affirm that all the information on this form is correct.

Signature________________________________________________________    APC Card Number_______________

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