2017 AMERICAN MASTERS WEIGHTLIFTING CHAMPIONSHIPS NOVEMBER 9-12, 2017 SAVANNAH, GEORGIA, USA

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1 Presented by Team Savannah Weightlifting, Inc. Competition Venue Entry Fees Mail to Paul Anderson / Howard Cohen Weightlifting Center 7232 Varnedoe Drive Savannah, GA Individual Early Entry Fee through July 4, $90.00 US Entry Fee July 5-September 4, $100 Late Entry Fee September 5-October 9, $125 Team Entry- $50.00 US (Checks payable to Team Savannah) **Increase in fee is to cover NEW drug testing at this event** Team Savannah 7232 Varnedoe Dr. Savannah, GA (Checks are made payable to Team Savannah) Entry Deadline Postmarked paper entry -no later than October 9, 2017 at $125 No Entries Accepted After October 9! **Entry Fees are non-refundable** On-line Entry USAW Membership Optionally, enter at https://2017americanmasterswl.eventbrite.com USAW Membership is required for athletes. Please make sure your membership is valid through the end of the competition (11/12/17). USAW number and expiration date are required on the official entry form. Athletes are required to be registered as MASTERS athlete. Proof of Entry: In the event of a dispute regarding the timely submission of the Entry Form, all lifters must have proof of having mailed the Entry Form to the meet director. To ensure evidence of timely submission, you are encouraged to mail the entry form by Certified Mail and Return Receipt Requested or register online. Online entry verification should be printed and saved in the event of a dispute. Eligibility: All master lifters properly registered with USAW Masters Program who are at least 35 years of age on or before December 31, Participants must show proof of age and of current registration at the time of weigh-in. ~ 1 ~

2 Groups Men M35-39 M40-44 M45-49 M50-54 M55-59 M60-64 M65-69 M70-74 M75-79 M80-84 M85-89 M90+ Women W35-39 W40-44 W45-49 W50-54 W55-59 W60-64 W65-69 W70-74 W75-79 W80+ VERIFICATION OF ENTRIES & TECHNICAL MEETING The verification of entries meeting will take place at 6:30 at the venue, followed by the technical meeting on Wednesday, November 8 th. This is the last opportunity to go down in weight class and submit final team entries. Qualifying Totals: There are NO Qualification totals for this event. COMPETITION: Schedule and Start List Competition will take place on Thursday, Friday, Saturday, and Sunday November 9 th through November 12 th at the Competition Venue. The exact lifting schedule will not be determined until approximately 2 days after the entry deadline (and four weeks prior to the event). The expectation is that the oldest lifters will compete on Thursday, November 9, and the youngest men will lift on Sunday, November 12. The remaining entries will be divided to balance the number and sizes of sessions throughout the weekend. Weight Category Change: Please note that according to USAW Masters rules, an athlete may increase or decrease his/her body weight category at the technical meeting. After the technical meeting an athlete may increase, but may not decrease his/her body weight category. The athlete must notify the Competition Secretary and report to the weigh-in of the original weight category to confirm the change to a heavier category. If there are any questions about this ruling please contact your National Master's Chairman, Howard Cohen. ~ 2 ~

3 Drug Testing and Doping Control: Pursuant to the rules of USA Masters Weightlifting, these championships are a drug-tested event. The US Anti-Doping Agency (USADA) will be under contract to handle all testing-related procedures. The number of tests administered will depend on the number of entries received for the championships. Of each entry received, $25 is allocated to the contracted costs with USADA. Participation in this event signifies that the athlete agrees to be subjected to and to comply with all drug control procedures and policies. Awards: Medals will be presented to first, second, and third for totals only. Best Lifter for each age group (male and female). Grand Master award for male and female. Team Awards for first, second, and third (male and female). Training: All lifters may train at the competition venue (Anderson/Cohen Facility). Training schedule will be posted. Medals: Will be presented after the snatch of the next session (except for the last session of each day). Weigh-In: All weigh-ins will take place at the weigh-in office at the competition venue. Competition Venue: Anderson/Cohen Weightlifting Center 7232 Varnedoe Drive, Savannah, GA Scale: There will be a check scale at the warm-up area adjacent to the official weigh-in room and at the competition hotel. ~ 3 ~

4 Individual Official Entry Form Please clearly TYPE or PRINT all information Please enter me in the kilogram class age group male female of the 2017 American Masters Weightlifting Championships at the Anderson-Cohen Weightlifting Center. In consideration of my entry in this competition, I do hereby waive, and release the IWF Masters, USA Masters, USA Weightlifting, Team Savannah, Chatham County, their directors, officers, and agents, the meet director, competition personnel, volunteers, and all other related parties from any and all actions, liability, claim, and demands of every kind and nature that I or my heirs or personal representatives may have for bodily injury, for expenses of medical treatment, hospitalization, and other costs, damages or losses suffered or incurred by me in connection with my travel to and from the meet and my participation in the competition and related activities. I agree that the IWF Masters, USAW Masters, USA Weightlifting, Team Savannah, Chatham County, and their agents (including competition personnel and volunteers) may make judgments with appropriate input from available medical personnel as to my treatment, hospitalization or other medical care in the event of my illness or accidental injury in connection with my participation in the competition should I be disabled or incompetent to make necessary and appropriate decisions concerning such treatment, hospitalization or other care. I authorize the IWF Masters, USAW Masters, USA Weightlifting, Team Savannah, Chatham County, and its agents (including competition personnel and volunteers) to make decisions for me as though they stood in a relationship to me of parent, guardian, or next of kin should circumstances require the aforementioned to make judgments and provide that my next of kin cannot be timely and /or conveniently contacted to participate in the making of such judgments. I hereby, release.and agree to hold the IWF Masters, USAW Masters, USA Weightlifting, Team Savannah, Chatham County, and their agents (including personnel and volunteers) harmless for all expenses, causes of action, liability, claims, and demands arising from good faith judgments made by the aforementioned concerning my treatment, hospitalization and medical care in the event of my illness, injury and/ or other emergency circumstances in connection with the competition. I agree that I will be financially responsible for the treatment, hospitalization and other medical care received by me in the event of my illness, injury and / or other emergency circumstances in connection with the competition: except to the extent my injury and medical expenses, if any, are covered by accidental death, dismemberment, loss of sight, and medical reimbursement policies: in which event, I will nevertheless continue to be financially responsible for expenses of treatment, hospitalization and other medical care in excess of such policies limits. I agree to be filmed and photographed under conditions approved and authorized by the IWF Masters, USAW Masters, USA Weightlifting to include the use of my name, biological information, public appearances, interviews, photographs, portraits, motion pictures and television recordings of my Weightlifting performances and grand to the IWF Masters, USAW Masters, USA Weightlifting and its right to record and make sure of the same and to authorize others to do so in promoting the competition and the success of the Weightlifting team on which I compete to promote the image of the IWF Masters, USAW Masters, USA Weightlifting its sponsors, advertisers, and the sport of Olympic Weightlifting and to fund the activities of the IWF Masters and my National Masters Program. Furthermore, I declare that I agree to the contents of the IWF Masters Rule Book, pursuant to its latest revision at the time of his competition and, in particular to Section 15 that states, "The IWF Masters and drug abuse The IWF Masters recognizes the right of any member country to conduct tests on any lifter selected for drug testing at an IWF Masters organized event or at any other time Lifter must sign the entry form that the IWF Masters organized event or at any other time Lifter must sign form that the IWF Masters has permission to test for control drugs." Drug testing will be strictly enforced. Anyone using performance enhancing substances is not welcome at these championships. ~ 4 ~

5 Last (family) Name First (given) Name Street Address City/Town Country Postal Code Telephone / / (Work) (Home) (Emergency) address (Please print legibly) Date of Birth Day Month Year Age at 31st of December 2017 USAW # Exp Date Announced Entry Total: kg. Wt. Class: kg REFEREE STATUS ( ) IWF Category 1 ( ) IWF Category II Are you willing to serve as a referee? ( ) Yes ( ) No At the time of weigh-in, each lifter must present to the Competition Secretary the following documents. Driver's license, passport, birth certificate, or government ID showing front face and their date of birth. Lifters who do not show documentation to the Competition Secretary at the time of their weigh-in agree that they will only participate as Extra Lifters in the competition. IWF-MASTERS RULE. Lifters cannot do the clean jerk after three failures in snatch. Having read and understood all of the above stated provisions, I, hereby, submit my Entry Form. Signature Date Please return pages 4-6 with required entry fees. ~ 5 ~

6 DRUG USE AND BLOOD DOPING: All competitors in the 2017 American Masters are subject to drug testing by the United States Anti- Doping Agency (USADA). A positive result for an IOC prohibited substance will be cause for disqualification from this event, and loss of eligibility. A negative test will demonstrate to the public and your competitors that you have earned your achievements ethically. By registering to compete at this competition, you are consenting to be subject to drug testing on your urine, and accept the penalties if found positive for a prohibited substance. All athletes chosen are required to provide an acceptable specimen. Cooperation is mandatory; noncompliance will be cause for the same penalties as for a positive drug test. Further information about the doping control process, the protection of your rights, and the status of specific medications is available from the U.S. Anti-Doping Agency and its Drug Reference Line ( ), 5555 Tech Center Drive, Suite 200, Colorado Springs, Colorado The USADA website is Over-the-counter medications, nutritional supplements, and even natural herbal supplements may contain prohibited substances. Always check first with your team doctor or the Drug Reference Line before taking any medication prior to competition. I understand that drug-testing may be conducted on a formal basis for athletes weighed-in for this event or program and that the detection of use of banned drugs would make me subject to suspension by my sport's national governing body and USOC. By registering for this event, I agree to be subject to a drug test and its penalties if declared positive for a banned substance. I am aware that failure to appear for and comply with the drug test will be cause for the same penalties as for those who are positive for a banned substance. I further understand that the practice of blood doping is banned by the USA Weightlifting, the USOC, the IWF and the IOC and that to do so would make me subject to punitive action within existing policies. ** Names of athletes who test positive, the name of the substance and length of suspension will be listed in on the USA Weightlifting website. I know that I may call the USADA Hotline ( ), for any questions about medications and banned substances or practices. I understand that, if for some reason I elect not to continue in the competition to the completion of an official total, or do not total, that I will still be eligible for the random drug test, and I will report to the Doping Control Officer and advise him/her that I am making myself available for random drug testing. I will not leave the meet site until excused by the drug control officer. I understand that if I am a no show for drug testing, I am subject to receiving the maximum penalty of a 4-year suspension from the sport. In providing my signature below I am signifying that I agree to all the terms, conditions, waivers, policies, descriptions and other information provided on the preceding pages of this document. PRINTED NAME: DATE: SIGNATURE: ~ 6 ~

7 OFFICIAL TEAM REGISTRATION Please enter the following Team in the 2017 American Masters Weightlifting Championships. Enclosed is a check in the amount of $50.00, payable to TEAM Savannah. Each lifter on this roster must submit an individual entry indicating he represents this club. Men's teams consist of 8 athletes and 3 reserves. Women's teams consist of 7 athletes and 2 reserves. Each team is only allowed 2 team members competing in the same age group and body weight category. Team entries mailed in must be postmarked no later than October 1, Proof of mailing is required; please see Page 1 Proof of Entry. Final Team Rosters are due in the hands of the Competition Secretary no later than 7:00 PM on November 11, 2015, at the Technical Conference. USAW Club Name: 2017 USAW Club #: Club Contact Person: Address: City: State: Zip: MEN / WOMEN Circle one NAME Weight Category Age Group Best Total Reserves: Club Official s Signature: Date: ~ 7 ~

8 ADDITIONAL INFORMATION Competition Hotel: LaQuinta Midtown, 6805 Abercorn St., Savannah, GA Call: , Group Reservation Line Room Rates: $62/night plus tax Rooms are available from 11/8-11/13 Deadline to book rooms is Oct 16. Rooms will not be held after this date so book early. Make your reservation early as the number of rooms available is Limited. If you have more than 1 in the room, ask for 2 beds. (Please make sure you tell the hotel operator that you are with the American Masters Weightlifting group.) ~ 8 ~

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