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2013 DARIOTIS MEMORIAL WEIGHTLIFTING CHAMPIONSHIPS

Thrush Sports Performance Center, 1627 45th St. E. Sumner Washington 98390 January 6, 2013 SCHEDULE
Session #1 Session #2 Session #3 Session #4 56 77kg Men 48 to 63 Women 69 - =75 Women 85 - +105 Men Weigh-In @ 8:00 am Competition @ 10.00 am Weigh-In @ 10:00 am Competition @ 12:00 pm Weigh-In @ 12:00 pm Competition @ 2:00 pm Weigh-in @ 2:00 pm Competition @ 4:00 pm

*Schedule subject to change, depending on distribution of entries received


Awards: Fee: Entry Deadline: Mail Entries to: Questions: Make Checks Payable to: Rules: Top 3 Awards for each weight class. (Male and Female) $45.00 OPEN $30.00 JUNIOR Dec 28, 2012 (Late entries accepted for a $60 late fee). TSPC 1627 45 St E, Suite. #102, Sumner WA 98390
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1-253-335-6883 Info at: CalpiansJTT@aol.com TSPC (We also take credit cards. See bottom of entry for info) The latest IWF rules will govern the competition. Competition limited to Snatch and C&J

Please Print Clearly


Name: Address: City, State, Zip Code Phone: Email: USAW Number Birthdate Male: Female: Weight Class: <56 Weight Class: <48 56 48 62 53 69 58 77 63 85 94 105 105+ 69 75 75+ Please add me to the meet email list

Club

In consideration of my entry in the 2012 Dariotis Memorial Weightlifting Championships, I hereby waive all rights and claims against the Calpian Weightlifting Club, TSPC, competition directors, employees, volunteers, and any sponsors of the competition for any injuries I may suffer at the above advertised competition. Competitor Signature: Signature of Parent or Guardian: (If competitor is under 18 years of age) We accept credit cards! Circle: AmEx Visa MC Discover Date:

Name as printed on card: Card #: Sec. Code on back of Card:

Exp. Date: Amount:

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