Lifting For a Cause Registration Form

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Registration form

Email address
*

First and Last Name
*

Date of birth (MM/DD/YYYY)
*

Select Category
*

Lightweight Women (150lbs and under)

Heavyweight Women (over 150lbs)

Lightweight Men (220lbs and under)

Heavy weight men (over 220 lbs)

Masters (55+)

Male Team

Female Team

Youth Male (14-18)

Youth Female (14-18)

If you chose Team please fill out team name and the teammates information (Name, email, number, and shirt size).

T shirt Size (Due Before 4/6/24)
*

Small

Medium

XXL

XXXL

No shirt, please donate funds to the non-profit

Estimated bench press 1 rep max
*

Estimated deadlift 1 rep max
*

Liability Waiver
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist: and,

2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASES or others and assume full responsibility for my participation; and,

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the officials immediately: and,

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin,, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Meet Director/promoter, sponsoring association, and their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used for the activity (“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to the person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, to the fullest extent permitted by law.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF THE RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND INDICATE THAT TYPING MY NAME BELOW CONSTITUTES FREELY AND VOLUNTARILY SIGNING WITHOUT ANY INDUCEMENT.

If you agree the Liability Form above, please digitally sign by typing your FULL LEGAL first and last name
*

Pay $50 entry fee to the SAGA Fund. You can write a check the day of the event or Venmo Liz Borgmann @ApexCoachingLLC

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