2012 RPS
FAIR HAVEN FITNESS
WINTER CLASSIC

DATE: FEBRUARY 25TH, 2012

FULL POWER, BENCH ONLY, DEADLIFT ONLY, IRONMAN

LOCATION: FAIR HAVEN FITNESS
8 MAIN ST. FAIR HAVEN , VT 05743
802-265-3470

DIRECTOR: JAMES MATTA capejam@hotmail.com 802-265-3470

ENTRIES : PER DIVISION PER LIFTER IS $85 Cross-over $35

ENTRY DEADLINE-FEBRUARY 18TH, 2012
50 LIFTER LIMIT
-FIRST COME FIRST SERVE $25 LATE FEE IF AFTER DEADLINE

EVENTS: FULL POWER, BENCH ONLY, DEADLIFT ONLY, IRONMAN

DIVISIONS:MULTI-PLY,SINGLE PLY, RAW CLASSIC(NO KNEE WRAPS)
RAW MODERN (KNEE WRAPS ALLOWED)

CLASSES: Am (random drug test) Pro (non tested)
Elite Open, Police/Fire Pro and AM, Armed Forces,

AGE DIVISIONS: Open, Teen(14-15,16-17,18-19),Jun(20-23),submaster (33-39)
Master(per 5 yrs) Police/Fire, Armed Forces:Master 50+

WEIGHT CLASSES:MEN:114,123,132,148,165,181,198,220,242,275,308,SHW
WOMEN: 97, 105, 114, 123, 132, 148, 165, 181, 198, 220, SHW

RULES: All Lifters must be present for the rules clinic! All Revolution Powerlifting
Syndicate (RPS) rules apply . Equipment must be within (RPS) specifications. For
questions on rules Please feel free to visit the website www.RevolutionPowerlifting.com
One-piece lifting suit must be worn.

2012 RPS FAIR HAVEN FITNESS WINTER CLASSIC
Entry Form

IMPORTANT:
SPECTATOR/COACHES FEES $5 AT DOOR
ENTRY FEE PER LIFTER $85 INCLUDES MEET, T-SHIRT AND 1 5 X7 PICTURE
ADDITIONAL DIVISIONS -$35

T-SHIRT SIZE____ S,M, L, XL,2XL,3XL,4XL

EVENTS: FULL POWER___ | IRONMAN____ |
SQUAT ONLY___ | BENCH ONLY____ | DEADLIFT ONLY___

DIVISIONS: MULTIPLY___ | SINGLE PLY___ |
RAW CLASSIC(NO WRAPS)____ | RAW MODERN(WRAPS)___

CLASSES: AM(RANDOM TESTED)___ | PRO(NON TESTED)___
ELITE OPEN(PLEASE INCLUDE $100 MANDATORY TEST FEE!______
POLICE/FIRE AM___ | POLICE /FIRE PRO___ | ARMED FORCES AM___ | ARMED FORCES PRO___

AGE DIVSIONS: OPEN___ | SUBMASTER(33-39)___ | TEEN___ (age) | MASTER___ (age)| JUNIOR(20-23)___

WEIGHT CLASS____ | SEX M OR F

NAME________________________________ AGE____ BIRTH DATE________

ADDRESS____________________________________ CITY_________________ ZIP____________

STATE_____ PHONE___________________________ EMAIL_______________________________

PAYMENT CHOICE: CASH,CHECK, MONEY ORDER AMOUNT PAID______

ALL PAYMENTS CAN BE MADE OUT TO FAIR HAVEN FITNESS. THEY CAN BE SENT TO:
FAIR HAVEN FITNESS 8 MAIN ST. FAIR HAVEN,VT 05743
FOR QUESTIONS PLEAS CONTACT JAMIE AT (802)265-3470 OR capejam@hotmail.com

PAYMENTS DUE BY FEBRUARY 18TH! OR ($25 LATE FEE WILL BE APPLIED)