2016 Washington State Championship Registration
Thank you for your interest in the 2016 Washington State Championship! Your Washington LWC Board is proud to present our first independent State Championship, run by the board for our Washington lifters!

When: The meet is on Saturday, July 16, 2016. First weigh-ins begin at 8 a.m. with the first session at 10 a.m. We will run a two-platform meet.

Where: Washington State Fair Sleep Country Showplex Events Center. 110 9th Ave SW, Puyallup WA 98371. Free parking is available in the Blue Lot.

Awards: Awards will be given to the Top 3 Youth, Junior and Masters lifters (for men and women) by Sinclair, as well as the Top 3 by weight class. Weight classes contested are: 56kg, 62kg, 69kg, 77kg, 85kg, 94kg, 105kg, 105+kg (men) and 48kg, 53kg, 58kg, 63kg, 69kg, 75kg, 75+kg (women).

Cost: $80 by July 1. Registration after July 1 increases to $90. No entries accepted after July 9.

Please send registration fee via Paypal link below within 24 hours of registration. If payment is not received, you will not be considered registered for this event and will be removed from the start list. If you need to make alternate payment arrangements, please e-mail washingtonweightlifting@gmail.com as soon as you register.

https://www.paypal.com/us/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=GPDXJYCH53THL

Singlets are required, per USAW rules.

You should receive a confirmation e-mail within 24 hours of us receiving your payment. Session times and a day-of need-to-know e-mail will be sent July 10th.

To qualify for entry, lifters must be current USA Weightlifting members based in Washington State and have competed in a meet between July 1, 2015, and June 30, 2016. The board reserves the right to limit or reject entries.

First Name *
Your answer
Last Name *
Your answer
Address *
(123 Main Street, Seattle, WA 98000)
Your answer
Phone Number *
Your answer
E-mail Address *
Your answer
Male/Female *
Weight Class *
Your answer
T-Shirt Size *
(Ladies: Size is assumed unisex unless you specify otherwise)
Your answer
Club *
Your answer
USAW Number *
Please list member number followed by Expiration Date (e.g. 112233, 10/16)
Your answer
Qualifying meet information *
Meet name and date, meet total
Your answer
Waiver *
In consideration of my entry in the Washington State Championships (individually and collectively, the “competition”), I certify that I am sufficiently physically fit to participate in the competition and I (and my parent or guardian, if I am a minor) hereby waive and release USA Weightlifting (the USAW), its directors, officers, officials and agents, the Washington LWC, the WA State Fitness Expo, and the competition’s sponsors and organizers of and from any cause of action, loss, liability, claim demand or expense of any kind whatsoever which I or my heirs or personal representatives may have bodily injury or illness and for any other cost, damage or loss suffered or incurred by me or on my behalf in connection with my travel to and from, and my participation in, the Competition and all related activities. The foregoing waiver and release shall not apply to injuries, damages and losses resulting from injuries or medical expenses covered by accidental death, dismemberment and/or loss of sight and medical insurance policies maintained by the USAW. I (and my parents or guardian, if I am a minor) agree that the USAW and its agents, including the Competition’s sponsors and organizers, may make judgments (with appropriate advice from available medical personnel) with respect 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, if I become disabled or incompetent to make necessary and appropriate decisions for me as though they stood in a relationship to me of parent, guardian or next of kin if circumstances require the USAW, its agents or the Competition’s sponsors or organizers to make such judgments, and my next of kin (or my parent or guardian, if I am a minor) hereby release and agree to hold the USAW and its agents, the Washington LWC, the WA State Fitness Expo, and the Competition’s sponsors and organizers harmless from and against any expense, cause of action, liability, claim, demand or expense arising from good faith judgments made by the USAW, its agents and/or the Competition’s sponsors and organizers concerning the treatment, hospitalization and/or medical care in the event of any illness, injury or other emergency circumstance in connection with the Competition. I (and my parent or guardian, if I am a minor) agree that I (and my parent or guardian, if I am a minor) will be financially responsible for treatment, hospitalization and other medical care rendered to me in the event of my illness, injury or other medical emergency circumstances in connection with the Competition, except to the extent my injuries and medical expenses, if any, are covered by accidental death, dismemberment and/or loss of sight and medical reimbursement insurance policies maintained by the USAW for my benefit, in which event I (and my parent or guardian, if I am a minor) nevertheless will continue to be financially responsible for expenses of treatment, hospitalization and other medical care in excess of such policies’ limits.I (and my parent or guardian, if I am a minor) understand that I may be photographed while at this event, and I (and my parent or guardian, if I am a minor) hereby give explicit permission to the Washington LWC, the WA State Fitness Expo, and others to use for promotional purposes, including on websites and other promotional materials, any images of me taken during this event.
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