2017 National Masters Championships Entry Form
Hosted by Nelson Weightlifting club
Sanctioned by Olympic Weightlifting New Zealand
Powered by Industrial Athletic

Date: 9th and 10th December 2017
Venue: Results Gym
Address: 1 Kinzett tce, Nelson

How to enter:
1. Fill out this entry form.
2. Make a $60.00 payment to the following bank account.

Nelson Weightlifting club
03-0703-0455765-18

Reference:
FULL NAME + MASTERS

*Entry is only accepted when payment has been received.
*Payment is due by close of entries on Sunday 19th November
*No refunds after close of entries.

Entries close: 6pm Sunday 19th November 2017
Timetable: Will be released after the close of entries.

Entry requirements:
This competition is open to any Olympic Weightlifting New Zealand (OWNZ) registered masters athlete that has competed in a minimum of one OWNZ sanctioned competition between 01/01/2017 & close of entries which is 19/11/2017.

Categories:
This is a masters event. Medals will be awarded to each masters age category and weight class.

Compulsory:
You must be a current member of OWNZ.
International Weightlifting Federation (IWF) rules apply.
Uniform requirements are to be of IWF standard.

Any questions please contact Ed Keene. 0275707033 or email cpedk@slingshot.co.nz

Personal Information
Full Name (as stated on your Passport) *
This form MUST be filled out by the athlete named below
Your answer
Gender *
DOB *
(day/month/year)
Your answer
Contact Information
Contact Email *
Your answer
Contact Phone Number *
Your answer
Weightlifting Information
Club *
If your club is not affiliated with OWNZ, please select OWNZ INDEPENDENT.
Age category *
Bodyweight class *
Entry Total *
(15 kg rule applies to men and 10 kg rule applies to women)
Your answer
Olympic Weightlifting New Zealand registered *
If not, please register here: http://olympicweightlifting.nz/registrations/
Declaration
Social Media Release, Waiver & Drug Testing Compliance *
I willingly participate in the 2017 National Masters Olympic Weightlifting Championships at my own risk and release Olympic Weightlifting New Zealand, all those assisting at the event and any of the other named sponsors or their representatives connected with the competition from all claims of damages arising from participation in and travel to and from the competition, including, without limitation, personal injury. If requested I agree to comply with official drug testing regulations. I allow OWNZ to take and share any photographs or videos of me participating in this event through social media networks. All parents/guardians of participants under the age of 18 have recognized these compliances through the submission of this entry form. By agreeing to this entry form, it certifies that I have read and understood the conditions of entry of the competition, including those relating to the Privacy Act, and agree to abide by the organiser's rules and waive all liability against the organisers and their sponsors.
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