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Brute Strength Gym’s April Fools Strongman/Woman Challenge

United States Strongman, Inc. Contest Entry FormAll Competitors must hold a current United States Strongman Membership

(Available on Contest Day $20 cash or checks made out to United States Strongman Inc. Only)

GOLD LEVEL EVENT (TOP 3 QUALIFY FOR NATIONALS)Contest Director: Brute Strength Gym

Contact: Stella Krupinski

Date & Time: April 4, 2015 10:30am Rules at 9:30am

Weigh-in: Friday April 3rd

 9am- 7pm & Saturday April 4th

 7am-9am

Location: Brute Strength Gym 836 Poplar Hall Drive Norfolk, VA 23502

Hotel: TBD

Divisions: Women LW Novice- Women HW Novice  – Open LW Women  –Open MW Women-Open HW Women

 – Masters  –Novice LW Men  –Novice HW Men –Open LW Men – Open MW Men – Open HW Men- Open Men SHW**Novice must have 3 in each class or will combine - Open Class Must have 5 in each or will combine **

Events: 1. Overhead Press / Deadlift Medley 2. Farmers Carry, Sled Push, Fingal Finger , 3. Conan’s Wheel,Wheelbarrow Push 4. Odd Stone Press

Entry Deadline: March 21st, 2015 Cost $50.00

Mail Entries & Fees: Brute Strength Gym 836 Poplar Hall Drive Norfolk, VA 23502

In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors and administrators, and my assignees, waive andrelease all rights and damages I may have against United States Strongman, Inc., Willie Wessels, Brute Strength Gym,any and all sponsorsof the event, their representatives and assigns, for any and all injuries incurred by me in conjunction with these championships and intraveling to and from the event. And in further consideration of permission being granted to me to participate in the United StatesStrongman, Inc. CONTEST and its related events, I hereby grant United States Strongman, Inc., Brute Strength Gym and/or any other

approved video or entertainment organization and all of their agents, successors, licensees and assigns, the right to photograph orotherwise reproduce (whether by film, tape, still photography or otherwise) my voice, appearance and name, and to exhibit, distribute,transmit, and/or otherwise exploit any and all media, including without limitation, by means of still photography, motion pictures, radio,television, television motion pictures, video, printing or any other medium now known or hereafter devised, including with respect also toany merchandising, advertising and/or publicity, and the right to use my name and information about me in any connection with any of theforegoing. The rights granted by me hereunder are granted for the entire universe and shall endure in perpetuity and no furthercompensation shall be payable to me at anytime in connection therewith. Nothing contained herein shall be deemed to obligate UnitedStates Strongman, Inc., and/or any other approved video or entertainment organization, to photograph or otherwise reproduce my voice,appearance or name, or to make use of any rights granted herein. I also understand that the aforementioned rights may be reassigned at anytime without further consent. I understand that United States Strongman, Inc. and/or any other approved video or entertainmentorganization, are videotaping and photographing the Event in express reliance upon the foregoing, and I represent and agree that I am freeto grant the rights granted to United States Strongman, Inc., Brute Strength Gym . and/or any other approved video or entertainmentorganization hereunder. Therefore I affix my signature below:

Name:____________________________________________________________________________ Age:________________________________

Address:_______________________________________________________________________________________________________________

City:______________________________________________ State:__________________________ Zip Code:_____________________________

Phone:________________________________ Age:____________________________ Date of Birth:_____________________________________

Email:_________________________________________________________________________________________________________________

Division:_____________________________ Weight Class: ____________ Tee Shirt Size :__________

Signature :______________________________________________________________________________________________________________

(PARENT OR GUARDIAN SIGNATURE REQUIRED IF CONTESTANT IS UNDER 18 YEARS OF AGE) 

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*Events May Change Without Notice*

Press Deadlift Medley:

a.  60 seconds b.  No straps - No suits (rehband shorts are allowed)c.  Belts, Elbow/Knee Sleeves, Wrist Wraps allowed.d.  Athlete must wait for down command

e.  Implement must be lowered under controlf.  Implements may not be rested on top of head

Farmers Carry, Sled Push, Fingal Flip

a.  60 second time limitb.  40’ on farmers Carry and Sled Push eachc.  One Fingal Finger Flipd.

 

No Drops on Farmers Carrye.  No Straps Allowedf.  Equipment Allowed: Belt, chalk, knee wraps, wrist wraps, and elbow sleeves.,

Tacky Towelg. 

Equipment Not Allowed: Tacky

Press/Deadlift Medley Farmers Carry-Sled

Push-Fingal Finger

Conan's Wheel 1 lap

WheelBarrow 40’ 

Odd Stone Press

Circus DB-Frame-Keg-

Farmers Carry

40 feet - 40 feet - One

Flip

Novice LW Women

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Conan’s Wheel / WheelBarrow

a. 

60 seconds time Frameb.  The Athletes must carry the implement in the crook of the arms

(Forearms/biceps)c.  NO SHOULDERING of the implement allowed.d.  One Drop Allowed. Second time the Athlete sets the implement down,

measurements will be taken.e.

 

There will be a 0-2ft grace mark, after which the measurements will be taken.f.  No excessive sliding will be permitted. Distance will be measure from point of

contact, not where implement slides.g.  One Lap Conan’s Wheel & 40’ Wheelbarrowh.  Equipment Allowed: Chalk, knee wraps or sleeves, wrist wraps, Belt with buckle

to the back.

Equipment NOT allowed: Tacky,Any item placed in the lifting belt to provide a “Shelf  

Odd Stone Pressa.  60 second time

b.  Split time will be taken with each stone 

c.  Equipment Allow: Knee wraps or sleeves, Belt with buckle tothe back, elbow sleeves, wrist wraps. 

d.  Equipment NOT Allowed: Tacky, Belt buckle to front oran object in the belt to provide a shelf.