2012 IBPA Power on the Plains Squat Championship
Date: Saturday May 12th 2012
Location: Colton Fitness Center, 400 S. Dakota Avenue, Colton, SD 57018
Time Table: 830am-9am weighins 9:15am lifters meeting 10am meet begins.
Events: Squat
Awards: No one leaves empty handed, there will also be awards for best lifters.
Spectator Admission: $3.00 for anyone not lifting that wants to watch.
Entry Fee: $40.00 per lifter * Note there is no league fee associated with belonging to the IBPA!
Entry Deadline: A late fee of $10.00 will need to be added to any entry recieved after May 1st 2012. Also note that depending on how late your entry is your trophy may have to be shipped to you.
Sanctioning Body: Independent Bodybuilding & Powerlifting Association or IBPA
General Information: Lifters may wear singlets although not required. Lifting gear to include wrist wraps, knee wraps, and lifting belts are permitted(no squat suits this is a raw meet). We will cover what is expected of the lifters at the rules meeting.
Meet Director: Ryan Tellberg South Dakota IBPA Rep. contact # 1 (605) 3 7 6 - 2 4 8 8 or Coltonfitnesscenter@gmail.com
Payment: Please send checks or money orders to Ryan Tellberg, 401 S Glenn Ave, Colton, SD 57018
*Payment is non-refundable!!!
* To learn more about the IBPA please visit http://nationalibpa.blogspot.com/
or visit the new SD IBPA home page http://irongladiatorsarena.blogspot.com/2012/01/south-dakota-independent-bodybuilding.html
Entry Form
Name___________________________________________
Phone___________________________________________
E-Mail Addy______________________________________
Address__________________________________________
City_____________________________________________
State____________________________________________
Age____________________Sex M or F
Opening Attempt___________________________________
Please circle which weight class you expect to compete in.
Male: 104 pounds and under, 123 lbs , 132 lbs, 148 lbs, 165 lbs, 181 lbs, 198 lbs, 220 lbs, 242 lbs, 275 lbs, Super HWT
Females: 104 pounds and under 104.25 lbs to 114 lbs, 114.25 lbs to 123 lbs, 123.25 to 132 lbs, 132.25 to 148, 148.25 to 165, 165.25 to 198, and 198.25 and
Please circle the appropriate division.
Divisions:
Teen I (12-15)
Teen II (16-19)
Novice I (20-24)
Novice II (25-29)
Sub Masters (30-39)
Master I (40-49)
Master II (50- 59)
Master III (60-69)
Master IIII (7O and over )
You can only enter one division
Teen I (12-15)
Teen II (16-19)
Novice I (20-24)
Novice II (25-29)
Sub Masters (30-39)
Master I (40-49)
Master II (50- 59)
Master III (60-69)
Master IIII (7O and over )
You can only enter one division
I hereby release my son or daughter to compete in this competition understanding the risks involved. I also understand that we are waiving our legal right to sue Ryan Tellberg or the Colton Fitness Center or anyone involved with the formentioned parties
Name_______________________________________Date____________________________
WAIVER OF RELEASE FROM LIABILITY (EVERYONE MUST SIGN)
I hereby waive my right to any and all legal action and also bind my heirs for taking any action for any injuries I may incur while traveling to this meet, during this meet, and while traveling home from said meet however severe they may be including the possibilty of death. I & my heirs will hold harmless Ryan Tellberg and Family, any and all meet sponsors, meet volunteers, Colton Fitness Center, Lamer Rental Properties and the Independent Bodybuilding & Powerlifting Association.
Name(write clearly)__________________________________________________Date_____________
Mail entry form to
Ryan Tellberg
401 South Glenn Avenue
Colton, S. D. 57018
