2013 RPS

(BE A FREAK) SUMMER
BENCH PRESS CHAMPIONSHIPS
Outside Meet Under Cover

Hosted by Fair Haven Fitness

DATE: August 3, 2013, 4pm

BENCH ONLY

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 $75 Cross-over $35

ENTRY DEADLINE-JULY 20, 2013
50 LIFTER LIMIT
-FIRST COME FIRST SERVE $25 LATE FEE IF AFTER DEADLINE

LIFTING STARTS AT 10AM ON SATURDAY
RULES AND REGULATIONS AT 3:00PM

WEIGH INS FRIDAY 8AM-8PM ALL DAY
OR SATURDAY FROM 12PM-12:30AM!

EVENTS: BENCH ONLY

DIVISIONS:MULTI-PLY,SINGLE PLY, RAW CLASSIC

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.

2013 RPS BE A FREAK SUMMER
POWERLIFTING CHAMPIONSHIPS Entry Form

IMPORTANT:
SPECTATOR/COACHES FEES $5 AT DOOR
ENTRY FEE PER LIFTER $75 INCLUDES MEET, T-SHIRT AND 1 5 X7 PICTURE
ADDITIONAL DIVISIONS -$35

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

EVENTS: BENCH ONLY

DIVISIONS: MULTIPLY___ | SINGLE PLY___ | RAW CLASSIC____

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 JULY 20th! OR ($25 LATE FEE WILL BE APPLIED)