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Oct 29, 2013 (3 years and 9 months ago)

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1


2013

N
ATIONAL

W
EIGHTLIFTING
C
HAMPIONSHIPS


G
ENERAL
I
NFORMATION
&

P
ARTICIPATION
C
ONTRACT

W
EST
C
HESTER
,

O
HIO


J
ULY
26

-

28
,

2013

VENUE:


Skatetown USA

8730 North Pavilion Drive

West Chester, OH, 45069. Tel: 513
-
874
-
9855


HOTEL
:


Cincinnati Marriott North

** SHUTTLE**

Hampton Inn Middleton

**SHUTTLE**

6189 Muhlhauser Road

2880 Town Boulevard

West Chester, OH, 45069

Middleton, OH, 45044

513
-
874
-
7335. Mention USA Weightlifting National
Championships
.

Reservations open 15
th

June 2013.

513
-
422
-
6880

$109 Queen, $119 King
.

$169



Hyatt Place Cincinatti North East

Holiday Inn Express Mason

5070 Natorp Blvd

5100 Natorp Blvd

Mason, OH
, 45040

Mason, OH
, 45040

1
-
888
-
HYA
-
TTHP


Mention USA
Weightlifting Nationals

Online at;

http://www.hyatt.com/hyatt/reservations/flow6/
place/propCheckAvailability.jsp?pid=CINZN&
ext
CorporateId=g
-
WEIG

513
-
387
-
6000



Mention USA Weightlifting Nationals

␱㔹






DoubleTree by Hilton Miamisburg

SpringHill Suites by Marriott

300 Prestige Pla捥

417 Springsboro Pike

Miamisburg, OH, 45342

Springsboro, OH, 45449

㤳9
-
㐳4
-
㈴〰



Mention USA Weightlifting

Nationals.

㤳9
-
㐳4
-
㤲㜷9


Mention USA Weightlifting Nationals

␱〹

http://doubletree.hilton.com/en/dt/groups/per
sonalized/D/DAYSSDT
-
USA
-
20130725/index.jhtml?WT.mc_id=POG

$119



Residence Inn by Marriott

-

Sharonville

Hampton Inn Dayton Mall

11689

Chester Road

8690 Mall Ring Road

Sharonville, OH, 45246

Dayton, OH, 45459

1
-
800
-
228
-
9290



Mention USA Weightlifting Nationals

㤳9
-
㐳4
-
1800 (Mention USA Weightlifting Nationals)

$
ㄲ1

␱㈴


Hampton Inn by Hilton at Springsboro

Holiday Inn

Express Blue
Ash

25 Greenwood Lane

4660 Creek Road

Springsboro, OH

Blue Ash, OH, 45252

㤳9
-
㜴7
-
㈱㈱



Mention USA Weightlifting Nationals

㔱5
-
㤸9
-
㤰㌵

(Mention USA Weightlifting Nationals)

$92/$102

␱㈴




Transportation:

A shuttle will
between th
e Marriott Ci ncinnati North,
Hampton Inn Middleton

and
Skatetown USA

during each
competition day.


Nearest Airports:


Cincinnati/Northern Kentucky International Airport (CVG)
i s approximately 39 mi les from the

Venue.




Dayton, Ohio,
International Airport (DAY)

i s approximately 49 mi les from the
V
enue
.





Shuttle:



American Limousine Service, Cincinnati, Ohio. 1
-
800
-
3321
-
6613, 513
-
793
-
1664, Dave Wolfe




dave@amerilimo.com

http://amerilimo.com


Contact Dave directly with all flight

information to and from event. Airport shuttle runs from both DAY & CVG
.

Cost for Transportation to/from Cincinatti/Northern Kentucky Airport will be $40, and fr
om Dayton International will
be $50, for up to three people.

2



Please provide Number of Riders, Name of Riders, All flight information (to/from) and payment info directly to
AmeriLimo.



Organizing Committee:

Ci nci nnati Weightlifting

Cl ub
, Butler County
Convention and Visitors Bureau,

and Ohio LWC


Meet Director
:



Chri s Cl eary


SANCTION NUMBER:



60
-
13
-
07


ELIGIBILITY,
QUALIFYING


T
o enter thi s event you must

be
a USAW member i n good standi ng when you submi t
your

entry

and


and ENTRY TOTALS:


remai n a member through the

ti me your sessi on ends


at the competi ti on you are enteri ng, and:

1)

Assure your
entry
and fee
is received

by the USAW National Office
by
Tuesday, July 16
, 2013
.

2)

Make a qual i fyi ng total
duri ng the qual i fying peri od
i n the
bodywei ght category you are enteri ng (
or i n a
l ower bodywei ght category
,
i f that l atter total i s hi gher
), that i s equal to or hi gher than the qual i fyi ng
standard total s (QSTs) shown bel ow (
i n
an
offi ci al USAW sancti oned competi ti on
, whi l e you are a USAW
me
mber
)


that
qual i fyi ng total must be entered by you when you compl ete your entry form
.

3)

However, i n compl eti ng thi s entry form, you may el ect to use an announced Entry Total
(ET)
that i s
l ower than your

qual i fying total, b
ut that
l ower total
must at l east
equal the
qual i fyi ng standard total
for the bodywei ght
/age
category you are enteri ng

(i f no entry total i s l i sted i n your entry form, your
qual i fyi ng total as described i n 3 above wi l l automati cally be used for your ET)
. Pl ease note
that the
to
tal of your
starti ng attempts at the competi ti on must at l east be

wi thi n 20k (men) /15K (women) of
your ET, and i f your
ET qual i f
i es

you for an A sessi on you must start wi thi n 20k/15k of the mi ni mum
total for the A sessi on.
No extra l i fters wi l l be permi tted i n thi s
competi ti on.

4)

USA Ci ti zenshi p requi red for entry i nto Youth Nati onal s, Juni or Nati onal s,
Seni or
Nati onal
Champi onshi ps.


Entry Totals:

NATIONAL CHAMPIONSHI
PS

QUALIFYING STANDARD
TOTALS (QST)

for each body wei ght
category, and for A and B sessi ons, are spec
i fied i n the
PRELIMINARY AND TENTATIVE SCHEDULES OF
COMPETITION
,
pages 3 and 4
, bel ow
.
Qualifying totals will not change on the final schedule.



ENTRY DEADLINE:

Tuesday, Jul y 16,
2013. Al l entri es, team or i ndi vi dual, whether made onl i ne, vi a fax or vi a regul ar mai l or express
servi ce,
must be recei ved wi th payment by the Nati onal Offi ce no

l ater than 11:59 PM MT Jul y 16
, 2013.

Entri es and/or payments
recei ved a
fter that ti me wi l l
be rejected.


QUALIFYING PERIOD:

March 2, 2012
-

Jul y 1
,
20
13


BODYWEIGHT CATEGORY

CHANGES AND FINAL

VERIFICATION OF

ENTRIES & MEETING:


The Entry Form you submi t to the USA Wei ghtl i fti ng offi ce by the entry deadl i ne i s your offi ci al entry to the
competi ti on and the i nformati on therei n wi l l be veri fi ed and used to create a Tentati ve Start l i st. However,
you can make changes to your bodywei g
ht
category up unti l 11:59 PM MT
, Monday
,
Jul y
22
,
by noti fyi ng
the Nati onal Offi ce, i n

wri ti ng, of the desi red change, i f you have made the qual i fyi ng total for that
category.

You may al so make a change at the Veri fi cati on of Fi nal Entri es

Meeti ng that wi l l take pl ace on

Thursday
,
Jul y 25
,
5:30


6
:00
PM E
D
T, at the offi ci al meet hotel

i ndi cated above, i n a room to be
announced that morni ng i n the l obby of the hotel.
However, i n no event wi l l changi ng your bodywei ght
category resul t i n you
movi ng to an A sessi on i f your ori gi nal ET pl aced you i n a B sessi on when the start
l i sts were publ i shed. For i nstance, i f your 275 kg. total at 85 kg. pl aced you i n the B sessi on of the
85kg.
category, and you move
to a category i n whi ch the 275 kg. total

woul d have pl aced you i n an A sessi on
(e.g., down to the 77 kg. category) had you entered that category ori gi nally, you wi l l be pl aced i n the B
sessi on of your new category (i f no B sessi on i s scheduled for that new category, you wi l l be combi ned i nto
the

B sessi on of an adjacent category). You can al so change your ET at or pri or to the Veri fi cati on meeti ng,
but i n no event can i t be bel ow the QST for the category i n whi ch you wi l l be l i fti ng. If you were pl aced i n
an A sessi on on the basi s of your ori gi na
l ET, and your revi sed ET i s l ower than the mi ni mum total for the A
sessi on of the category you wi l l compete i n, you must l i ft i n the B sessi on for that category (i f any) and
must be prepared to al ter your schedul e to do that.
Pl ease note i n sel ecti ng your

ET that the total of your
starti ng attempts at the competi ti on must at l east be

wi thi n 20k (men) /15K (women) of the QT, and i f you
3


are sel ected for an A sessi on wi th 20k/15k of the mi ni mum total for the A sessi on.
No extra l i fters wi l l be
permi tted i n th
i s competi ti on.


TECHNICAL CONFERENCE
:

Thursday, Jul y 25, 2013

@ 8:00

PM E
D
T. Room TBD.

Anyone who does not attend the Techni cal Conference
agrees to accept al l deci sions made at the Techni cal Conference. The fi nal Start Li st
wi l l become avai l able
i mmedi atel y afte
r thi s meeti ng and any changes to the l i fti ng schedul e wi l l be announced at that ti me. A
prel i mi nary l ist of parti cipants (subject
to change) wi l l be avai l able at

http://wei ghtl i fti ng.teamusa.o
rg

wi thi n 7 days after the entry deadl i ne.


REFEREES CLINIC & TESTING:

Thursday,
Jul y 25, 2013, 4:00


6:00 PM ED
T


(
Wri tten Test 6:00


7:00 PM)


For more i nformati on on referee testi ng procedures, pl ease vi si t
http://www.teamusa.org/USA
-
Wei ghtl i fti ng/Referees.aspx
.



ITEMS

REQUIRED AT

WEIGH IN:


Al l parti ci pants
aged 16 and ol der are

requi red at wei gh

i n to
produce a government
-
i ssued photo
i denti fi cati on documents showi ng date of bi rth, such as a dri ver’s l i cense, passport, mi l itary ID, or
comparabl e document. Al l parti ci pants
aged 15 and younger are requi red at wei gh i n

to produce a
government
-
i ssued i denti
fi cati on document showi ng date of bi rth, such as a bi rth certi fi cate, passport, or
comparabl e document; photo i denti fi cati on i s not requi red for parti ci pants under 16 years of age.




DOPING CONTROL:

Formal drug testi ng of parti ci pants

by the Uni ted States

Anti
-
Dopi ng Agency (USADA)

wi l l be i
n effect.
Parti ci pation i n thi s event si gni fi es that the
athl ete agrees to be subject
ed

to

and to compl y wi th

al l drug
control procedures and pol i ci es.


WEIGH INS:


Al l offi ci al wei gh
-
i ns wi l l be done at the Venue. Unoffi ci al wei ght
-
checks and a sauna wi l l be avai l able.
Further i nformati on TBA.



AWARDS:


Medal s to top 3 i n
each body wei ght category for snatch, cl ean & jerk, and total
. Best l i fter award for the
top
mal e and femal e l i fter.



TEAM AWARDS:


Three team awards for both men and women. Team poi nts based on USA Wei ghtl i fti ng rul es and wi l l be i n
total onl y. 1st=12 poi nts, 2nd=9, 3rd=8, 4th=7, 5th=6, 6th=5, 7th=4, 8th=3, 9th=2, 10th=1


PRE
LIMINARY

AND
TENTATIVE

SCHEDULE

OF
COMPETITION



The schedul e shown bel ow i s Prel i mi nary and subject to modi fi cati on on the basi s of actual fi nal entri es. Wi thi n 7 days of th
e entry
deadl i ne, the Nati onal Offi ce wi l l publ i sh a Tentati ve Dai l y wei gh
-
i n and l i fti ng sched
ul e whi ch i s al so subject to change; however, the
schedul e as di spl ayed shoul d be fai rl y close to the fi nal versi on,
because i t wi l l be based on entri es actual l y recei ved and wi l l be
affected mai nl y by wi thdrawal s or changes i n bodywei ght category, so shou
l d not change very much. The Fi nal Schedul e, whi ch i s not
subject to any change (other than del ays ari sing i n the normal course of competi ti on),
wi l l be announced at the Techni cal Meeti ng

fol l owi ng the Veri fi cati on of Fi nal Entri es
. If a l i fter fai l s to ma
ke wei ght, he or she wi l l not be al l owed to parti ci pate i n the event.


The day on whi ch a sessi on i s schedul ed, and the qual i fyi ng total s for each body wei ght category as speci fi ed bel ow, wi l l not

change.
Addi ti onal sessions may be added as needed. The f
i nal schedul e, whi ch i s not subject to change (other than del ays ari sing i n the
normal course of competi ti on), wi l l be announced at the Techni cal Meeti ng fol l owi ng the Veri fi cati on of Fi nal Entri es.


Athl etes and coaches shoul d be aware that two pl atfo
rms

wi l l

be used on Fri day, i f the number of entri es recei ved for thi s competi ti on
requi re an addi ti onal pl atform i n order to compl ete al l of the B sessi ons schedul ed for Fri day on a ti mel y basi s. A si ngl e pl
atform wi l l be
used for al l of the sessi ons on Satu
rday and Sunday.


If a l i fter fai l s to make wei ght, he or she wi l l not be al l owed to parti ci pate i n the event.
THERE WILL BE NO EXTRA LIFTERS.




Al l ti mes bel ow are l ocal Eastern Dayl i ght ti me

4





Friday
July 26, 2013


SESSION

GENDER

CATEGORY



Q
-
TOTAL


WEIGH IN


LIFT

1


WOMEN

48B/53B/58B
/63B

KG


100
/
126
/
135/148 K
G


8:
00 A
M

10
:0
0 A
M



2


MEN


56B/62B/69B
/77B KG


1
53
/1
84
/
219/257

KG


10:00 AM

1
2
:00 P
M

3


WOMEN

69
B
/75B/75+B

KG


153/159/165

KG


1
2
:0
0 PM


2
:
0
0

PM

4


MEN


85B
/94B/105B/105+B
KG

270/283/295/303

KG


2
:
0
0 PM


4
:
0
0 PM

Saturday
July 27, 2013

SESSION

GENDER

CATEGORY



A CUTTOFF
TOTAL

WEIGH IN


LIFT

5


WOMEN

48A/53A KG



105/145

KG



9:00 AM

11
:0
0 AM

6


MEN


56A/62AKG



160/200

KG


11:00 AM



1
:00 P
M

7


WO
MEN

58A/63A

KG



150/160

KG




1
:00 P
M


3
:00 P
M

8


MEN


69A/77A KG



2
25
/2
65

KG


3
:00
P
M


5
:00 PM

Sunday July 28, 2013


SESSION

GENDER

CATEGORY



A CUTTOFF
-
TOTAL

WEIGH IN


LIFT

9


WO
MEN

69
A
/75A

KG



1
65/170

KG



9
:0
0 AM

1
1
:0
0 A
M

1
0


MEN


85A
/94A

KG



300/315

KG


11:00 AM


1
:
0
0 PM

1
1


WO
MEN

75+
A KG



180

KG




1:00

P
M


3
:00 PM

1
2


MEN


105A/105+A KG


32
0
/
345

KG



3
:00 P
M


5
:
0
0 PM






5



OFFICIAL ENTRY FORM

REGISTRATION:
Preferred method of registration is on line at
https://www.usaw.hangastar.com/Login.aspx

. The deadline for
the National Office having
received
your registrati
on as

specified above in this document
. No late entries will be accepted.


A manual registration form may be mailed or faxed but i t must be received by the National Office by the deadline specified on

page one of this document. However, an additional $10 processing fee applies for each athlete or team registering manually
and i s

included i n the “Entry Fees” l isted below.


RETURN MANUAL ENTRY TO:



USA Wei ghtlifting

1 Ol ympi c Pl aza

Col orado Spri ngs, CO 80909


ENTRY FEES:

INDIVIDUAL Entry


$50.00 i f you enter online

(Non
-
refundable)



If you use a paper entry, $60.00

(Non
-
refundable; includes manual processing fee of $10)

Each OVERALL TEAM

$75.00 i f you enter

you’re a team
online

(Non
-
refundable)



If you use a paper entry $85.00

(Non
-
refundable; includes manual processing fee of $10)




Pl ease enter me in the 2013
N
ationals

to be held on
July 26
-

28, 2013 at Skatetown USA.

I certify that I am an amateur in good
standing. In consideration of my entry i n the competition, I do hereby waive, and release USA Weightlifting,
Ohio
LWC,

Ci nci nnati Weightlifting Cl ub, Butler County CVB, and any meet h
otel
, and their respective directors, officers, officials, agents,
and competition personnel, hereinafter known as the "Organizers," from any and all causes of action, loss, liability, claims

and
demands of every kind and nature, which I or my heirs or personal representatives may have for bodily i njury, for expenses of

medi cal treatment, hospitalization, and other care rendered to me in the event of my i njury or i llness, or for any and all ot
her
costs, damages or l oses suffered or i ncurred by me or occasioned to me in connection with my travel to and from, and my
parti cipation i n, the competition and related activi ties, except that the forgoing waiver and release shall not apply to i nju
ries,
d
amages, and losses resulting from the gross negligence and/or wanton misconduct of the Organizers or to bodily i njuries and
medi cal expenses covered by accidental death, dismemberment and/or l oss of sight and medical reimbursement insurance
pol icies mainta
ined by the Organizers.


I agree to be filmed and photographed under conditions approved and authorized by the USA Weightlifting, to i nclude the use
of my name, biographical information, public appearances, i ntervi ews, photographs, portrait and motion pict
ures and television
recordi ngs of my weightlifting performance and grant to USA Weightlifting and Organizers the right to record and make use of
the same, and to authorize others to do so in promoting the competition and the success of the weightlifting te
am on which I
compete, to promote the image of USA Weightlifting, its sponsors and advertisers, and the sport of amateur weightlifting, and

to fund the activities of the USA Weightlifting.


I (and my parent or guardian, if I am a minor), agree that the Org
anizers and its agents, including competition personnel, may
make judgments (with appropriate input from available medical personnel), as to my treatment, hospitalization or other
medi cal care in the event of my i llness or accidental injury i n connection w
i th my participation in the competition, should I be
di sabled or i ncompetent to make necessary and appropriate decisions concerning such treatment, hospitalization or other care.

I authorize the Organizers, i ts agents and competition personnel to make such

decisions for me as though they stood i n a
rel ationship to me of parent, guardian or next of kin should ci rcumstances require the Organizers, its agents and competition

personnel to make such judgments, and my next of kin cannot be ti mely and conveniently

contacted to participate i n the
maki ng of such judgments.


I hereby rel ease and agree to hold the Organizers, its agents and competition personnel harmless from all expenses, causes of

acti on, liability, cl aims and demands arising from good faith judgment
s made by the Organizers, i ts agents and competition
personnel concerning my treatment, hospitalization and medical care in the event of my i llness, i njury or other emergent
ci rcumstances in connection wi th the competition.


I (and my parent or guardian, i
f I am a minor), agree that I will be financially responsible for treatment, hospitalization and
other medical care rendered to me in the event of my i llness, injury or other emergency ci rcumstances i n connection wi th the
competition, except to the extent
my i njuries and medical expenses, i f any, are covered by accidental death, dismemberment
and/or l oss of sight and medical reimbursement i nsurance policies maintained by the Organizers for my benefit, in which event

I wi l l nevertheless continue to be fi nanc
ially responsible for expenses of treatment, hospitalization and other medical care in
excess of such policies' l imits.




6



I understand the USAW Board of Directors has adopted the following policy:
The entry and qualifyi ng deadlines for any
Nati onal

event are the ones specified in the Participation Contract and absolutely no entries will be accepted after the deadline.


Thi s policy wi ll remain in effect unless changed by the USAW Board of Directors and may not be overridden by any i ndividual o
r
grou
p, i ncluding but not l imited to any USAW committee, member, the event meet director or the National Office staff. This
pol icy will be strictly enforced, without regard to statements or rumor to the contrary, regardless of the source of such
statements or
rumors. Athletes should be advised that USAW will not be responsible for an athlete’s unsuccessful attempt to
regi ster for the event online due to the absence of a minimum qualifying total in the athlete’s record at the ti me registrati
on is
attempted, or
for any other issue that would cause the athlete to be unable to successfully register online or via fax or regular
mai l. It i s therefore strongly recommended that athletes not wait until the l ast minute to register, i n case there i s a prob
lem.


PLEASE TY
PE OR PRINT ALL INFORMATION CLEARLY:


WEIGHT CLASS QUALIFIED: _________KG (You may only enter one) USAW Member # _______________



____ MALE ____ FEMALE



NAME___________________________________________________________________________________



(Last)




(Fi rst)




(Mi ddle)



ADDRESS_______________________________________________________________________________



CITY_____
___________________________________________ STATE_________ ZIP______________



PHONE (___)___________ E
-
MAIL ___________________________________ AGE_______ DOB____________



USA WEIGHTLIFTING COACH: ________________________________ COACH USAW MEMBE
R # ______________


EVENT COACH: _____________________________________ EVENT COACH USAW Member # _____________

NOTE: EVENT COACH MUST BE A
CURRENT

USA WEIGHTLIFTING MEMBER TO GAIN ACCESS TO THE WARM
-
UP ROOM



QUALIFYING STANDARD TOTAL (QST) MADE: ___
________


WT CLASS:______________

DATE: __________



ENTRY TOTAL (ET) (must be equal to or greater than the QT of age/wt cl ass):
________________________


AMOUNT DUE: $60

(paper entry fee)

PAYMENT MAY BE MADE WITH CHECK PAYABLE TO ‘USAW’ OR VALID CR
EDIT CARD:
VISA, MASTERCARD, DISCOVER or
AMERICAN EXPRESS
:


CREDIT CARD ACCT#__________________________________________EXPIRES_____________CODE_______________


CARDHOLDER SIGNATURE _______________________________________________________ DATE
________________







DRUG USE AND BLOOD DOPING

Al l competitors i n the 2013
Uni versity Nationals

are subject to drug testing by the United States Anti
-

Doping Agency (USADA).
A positive result for an IOC prohibited substance will be cause for disqualification from this event, and loss of eligibility
. A
negative test will demonstrate to the public a
nd your competitors that you have earned your achievements ethically.



By regi stering to compete at this competition, you are consenting to be subject to drug testing on your urine, and accept the

penalties if found positive for a prohibited substance. A
ll athletes chosen are required to provide an acceptable specimen.
Cooperation is mandatory; noncompliance will be cause for the same penalties as for a positive drug test.



Further i nformation about the doping control process, the protection of your ri g
hts, and the status of specific medications is
available from the U.S. Anti
-
Doping Agency and i ts Drug Reference Line (1
-
800
-
233
-
0393), 5555 Tech Center Drive, Suite 200,
Col orado Springs, Colorado 80919
-
2372. The USADA website is
www.usantidoping.org

.

7




Over
-
the
-
counter medications, nutritional supplements, and even natural herbal supplements may contain prohibited
substances. Al ways check first with your team doctor or the Drug Reference Li ne before taking an
y medication prior to
competition.



I understand that drug
-
testing may be conducted on a formal basis for athletes weighed
-
in for this event or program and that
the detection of use of banned drugs would make me subject to suspension by my sport's nation
al governing body and USOC.
By regi stering for this event, I agree to be subject to a drug test and its penalties i f declared positive for a banned subst
ance. I
am aware that failure to appear for and comply wi th the drug test will be cause for the same pe
nalties as for those who are
positive for a banned substance. I further understand that the practice of blood doping is banned by the USA Weightlifting, t
he
USOC, the IWF and the IOC and that to do so would make me subject to punitive action within existin
g policies. ** Names of
athl etes who test positive, the name of the substance and length of suspension will be listed i n on the USA Weightlifting
website. I know that I may call the USADA Hotline (1
-
800
-
233
-
0393), for any questions about medications and
banned
substances or practices.


I understand that, if for some reason I elect not to continue in the competition to the completion of an official total, or d
o not
total, that I will still be eligible for the random drug test, and I will report to the Dopi
ng Control Officer and advise him/her that I
am making myself available for random drug testing. I will not l eave the meet site until excused by the drug control officer.



I understand that if I am a no s
how for drug testing, I am subject to receiving

th
e maximum penalty of a 4
-
year suspension
from the sport.


In providing my signature below I am signifying that I agree to all the terms, conditions, waivers, policies, descriptions an
d
other
information provided

on the preceding pages of this document.


PRINTED NAME: _______________________________________ DATE: ________________________



SIGNATURE: ___________________________________________________________________


IF ATHELTE WILL BE UNDER 18 AT TIME OF EVENT, PARENT/GUARDIAN MUST SIGN

I have explained
to my son/daughter the aforementioned releases and conditions, the aforementioned i nformation on drug use
and blood doping, the ramifications associated with their use, and the aforementioned

i nformation on drug testing. I further consent to his/her regist
ration for this USA Weightlifting activity under the above
sti pulated conditions.



PRINTED NAME: _______________________________________ DATE: ________________________



SIGNATURE: ___________________________________________________________________







8



2013
National

Championships


July 26
-

28
, 2013

OFFICIAL TEAM ENTRY FORM

$75/Team + $10 Admin Fee for Paper Application

Select one:


________Men's Team


________Women's Team




(Make copies as necessary for additional teams) Online
entries can be made by clickin
g (link here)


Please enter the following Team in the 201
3

Nationals
. Enclosed is a check for $85.00, payable to the
USA Weightlifting or credit card information below. I
understand that if any athlete on my team tests
positive for banned substance, that the team will receive no team points and will be disqualified from
this competition.


This tentative team roster must be submitted and each athlete on this roster must sub
mit an individual
entry indicating that he/she represents this club. Proof of mailing is required, please see page 1, "Proof
of Entry."

Final team rosters are due in the Competition Secretary's hands at the Verification of Final Entries
Meeting
. No more

than 2 per class, eight men per team and seven women per team.

United States post
-
secondary institutions that meet crit
eria in note 1 may enter teams, but can not include individual
athletes who are not citizens on their team rosters.
Foreign post
-
seconda
ry institutions may not enter
teams, only individual athletes who are United States citizens who otherwise meet criteria 1 through 3
.


USA WEIGHTLIFTING CLUB NAME_______________________________________CLUB #:________________


CLUB
ADDRESS_______________________________ CITY__________________ STATE_____ ZIP_________


CREDIT CARD ACCT#_____________________________________________ EXPIRES__________________


Visa, MasterCard, Discover, Ame
rican Express

CARDHOLDER’S SIGNATURE_____________________________________________ DATE_________________



ATHLETE’S PRINTED NAME




WEIGHT CLASS




TOTAL

1. ________________________________


_____________




___
__________

2. ________________________________


_____________



_____________

3._________________________________


_____________



_____________

4. _________________________________


_____________



_____________

5. _________________________________


_____________



_____________

6. _________________________________


_____________




_____________

7. _________________________________


_____________




_____________

8. _________________________________


_______
______



_____________


ALTERNATES:

1. _________________________________


_____________



_____________


2. _________________________________


_____________



_____________


SIGNATURE OF CLUB OFFICIAL: ______________________________
__________ DATE: ____
______


CLUB OFFICIAL’S PRINTED NAME: _______________________________________________________

9


Travel and Hotel Info

Cincinnati Marriott North

6189 Muhlhauser Road

West Chester, OH 45069

513
-
874
-
7335



Alternate Hotel
s
:

Hampton Inn

by Hilton


MiTTle瑯n (SUu瑴le ProviTeT)

Mouble瑲ee by Hil瑯n


Mia浩Vburg

Hya瑴 Place


䍩ncinna瑩 Nor瑨

HoliTay Inn NxpreVV


MaVon

ReViTence Inn by Marrio瑴


SUaronville

SpringHill Sui瑥V by Marrio瑴


SpringVboro

Ha浰瑯n Inn by Hil瑯n


SpringVboro

H
a浰瑯n Inn by Hil瑯n


May瑯n Mall

HoliTay Inn NxpreVV


Blue AVU.

USAW MEMBERS ARE ENT
ITLED TO THE FOLLOWI
NG BENEFITS

5
-
15% discount off your national and international travel through United & Hilton Hotels

How to book travel with United:

USA Weightlifting has been assigned an event code to be used when purchasing tickets on United or
United Express flights. USAW's code is
ZNY8766436

and

will activate fare discounts for any USAW
National sanctioned events.

Two ways to book discount air
travel: Phone or Internet
-

each method offers different discounts.

Phone
-

United Olympic Desk:



Call the United Olympic Desk at
800
-
841
-
0460

Monday
-
Friday from 10:00am to 8:00pm
(EST).



United is pleased to offer a 2
-
10% discount on published domestic fare
s and 7
-
15% on
International fares for all US Olympic recognized events and meetings when calling the United
Olympic Desk. Discounts are available on United and United Express flights as well as United
-
marketed Air Canada and Lufthansa code share flights.
Discount varies by booking class and
at time of ticketing. Certain published fares may not be eligible for the discount.

Internet
-

www.united.com/usoc
:



Purchase tickets online and receive a 5% discount off the l
owest applicable internet fares. By
booking your travel online you will receive the lowest guaranteed united.com fares and will
never pay a booking fee.



To book travel online visit
www.united.com/usoc
.

How to book

travel with
Hilton:


https://hiltonhhonors.com/NGBCampai gn/Olympic.html?cid=OM,HN,teamusastays,LP2010