2017 USA Powerlifting Boss of NorCal 4
DATE: Saturday May 27th 2017 Meet
Sunday May 28th IPF Legend Mike Tuchscherer RTS Seminar
SANCTION: CA-2017-04
VENUE: Boss Barbell Club, 241 Mountain View, CA 94043
ELIGIBILITY REQUIREMENTS: Open to ALL lifters. NO qualifying totals are
required to compete in this competition.
AWARDS: Awards will be given to lifters that place 1st –3rd place in each weight class.
A “best lifter” award will be given for male and female divisions.
WEIGHT CLASSES: The standard USAPL weight classes will be used.
START TIMES: Saturday (SAME DAY WEIGH-IN) 2-hr weigh-in beginning at 7am.
Lifting begins at 9am. Mike Tuchscherer RTS Seminar begins at 10am Sunday 5/28/17.
RULES: USAPL rules will be followed and can be obtained by your meet director, state
chair, or the USAPL national office. A USAPL membership is required and must be
purchased weeks before the meet. Drug testing will be conducted, be sure to take
responsibility for what goes into your body. There are many supplements/drugs that are
legal to buy, but are not legal to take if you compete in USAPL competitions.
USAPL Memberships: Purchasing your USAPL membership prior to the competition is
required. It will save you time & money. Please go to USAPL Membership Application.
Your card will be emailed to you in less than 1 week. Lifters WILL NOT be able to
compete without a current USAPL membership. Membership can be purchased here
http://www.usapowerlifting.com/membership-application/
MEET T-SHIRT: Official, commemorative T-Shirts are available for sale. Pre-ordered
shirts are $25. Shirts will be sold at competition for $30.
FEE: $100 received by March 30th, 2017. Additional divisions are $30/each. A late fee
of $20 will be assessed if your entry is postmarked after March 30th. No Exceptions.
Mike T. RTS Seminar $90 ($60 discount for those competing in BON4). Early
registration only!!!
Payment:
Mail check, cashier’s check or money order payable to
BOSS BARBELL CLUB. Address is
241 Polaris Ave.
Mountain View, California 94043
2017 USAPL BOSS OF NORCAL 4
(Please Print Legibly)
First Name: ______________________ Last Name: _____________________________
Age (on May 27th 2017): _________ Birth Date: ___________ Gender: __________
Address: ________________________________________________________________
City: _____________ State (spell out):__ __________ Zip:_________ Country:_______
Phone #:____________________ Email address**:______________________________
**please email us if you HAVE NOT received an email confirmation after 2 weeks of submitting registration form.
Check the weight class you will be lifting in:
Men:
Women:
53kg/116.84lb
[ ]
43kg/94.79lbs
59kg/130.07lb
[ ]
47kg/103.62lbs 66kg/145.51lbs
[ ]
52kg/114.64lbs 74kg/163.14lbs
[ ]
57kg/125.66lbs
83kg/182.98lbs
[ ]
63kg/138.89lbs
93kg/205.03lb
[ ]
72kg/158.73lbs
105kg/231.49lbs
[ ]
84kg/185.19lbs 120kg/264.55lb
[ ]
84kg/185.19lbs+ 120kg/264.58lbs+ [ ]
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Check the gear division you will be lifting in:
Equipped [ ]
Raw [ ]
Check the event you will be lifting in:
Powerlifting* [ ]
Bench Press Only [ ]
Deadlift Only [ ]
Push/Pull [ ]
*Full power (squat/bench/deadlift)
Check the age division you will be lifting in:
Teen 1 (14-15)
[ ] Teen 2 (16-17)
Junior (20-23)
[ ] Open (all ages)
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Teen 3 (18-19)
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Master 1a (40-44)
Master 2b (55-59)
Master 4a (70–74)
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Master 2a (50-54)
Master 3b (65-69)
Master 5 (80+)
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Master 1b (45-49)
Master 3a (60-64)
Master 4b (75-79
Fees (check all that applies)
_____$100.00 – Individual Entry Fee
_____$90.00 –Mike Tuchscherer RTS Seminar (Meet discount! Seminar alone $150) _____$30.00 – Additional age division or event
_____$25.00 – T-shirt Size(s) ________________________
_____$20.00 – Late Fee / Entry Post-marked AFTER March 30, 2017
_____$ Total Amount Submitted
Important Note: Late fee of $20.00 will be assessed if your entry is post-marked after March 30,
2017. *$20 return check fee. No Refunds Granted.
Received by:_______________ Date:____________________
Cash [ ]
Check [ ]
Money Order [ ]
Cashier’s Check [ ]
Other [ ]____________