I agree by signing this Entry Form for the 2007 Nevada Teenage
Weightlifting Championships that I will abide by the rules of USA Weightlifting.
I will not hold responsible the USAW, American Iron Gym, Nevada Barbell Club, the
officials or organizers of this competition for any injuries that may happen to
me while competing in or traveling to and from this event. Signature______________________________________Date__________ Signature of parent or guardian if under 18 Signature______________________________________Date__________ PLEASE PRINT CLEARLY
Address____________________________________________________
City________________________________State______Zip_________
Phone(______)________________USAW#_____________________
Weight-Class_______kg. Age______Date of Birth______________
Male_____Female_____School/Team____________________________
T-Shirt Size_______(S,M,L,XL,XXL,XXXL)
Additional shirts $10.00
Sizes____________________________(include payment with entry)
Entry Fee: $10.00 - postmarked no later than
May 22, 2007, to receive a t-shirt.
Mail Entry and Fee to: