“KING OF THE BEACH”

Bench press and Dead lift Contest

PLACE:                                                                             Bamboo Willie's next door to Hooter’s on Pensacola Beach
EARLY WEIGH-IN:                                                           Chip’s 24 Hour Health and Racquet Club Friday September 21st 8am - 5:00 pm
WEIGH-IN:                                                                        Saturday 8am to 10:00am at Bamboo Willie’s
WHEN:                                                                              Saturday September 22nd  Lifting Begins at 11am
COST:                                                                                Early entry fee $50.00 per division. Two divisions are $70.00.

                                                                                           Bench & Dead combine is one division. Week of the contest

                                                                                           $70.00 per division or $90 for two. Each lifter will receive a free t-shirt and Lunch.

CONTACT:                                                                         Chip Holston (850)304-9097 @ Chip's 24 Hour Health and Racquet Club

                                                                                           100 McAbee Ct. Gulf Breeze, FL 32561

DIVISIONS:                                                                            Bench Press Only, Dead lift Only or Bench & Dead combine

                                                                                               All classes by formula

                                                                                               Light Weight 150 lbs. and Below

                                                                                               Middle Weight 151 lbs. to 200 lbs.

                                                                                               Heavy Weight 201 lbs. to 250 lbs.

                                                                                               Super Heavy Weight 251 lbs. and Up

                                                                                               Masters 40 years and up, Women & Teenage

AWARDS:                                                                              Trophies will be present to 1st thru 3rd in Open Men’s class by

                                                                                              Swartz Formula Teenage, Women, Master will be first thru third

                                                                                              by formula Schwartz Fosters and Malone

                                                                                              CASH PRIZE FOR BEST LIFTER.

RULES:                                                                                  Bench shirts are not allowed. Singlets are optional. Press signal will be used.

Print this page out and return the portion below to

Chip's 24 Hour Health and Racquet Club

100 McAbee Ct.

Gulf Breeze, FL 32561

 Make checks payable to Chip Holston.

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NAME:__________________________________________ ADDRESS:_____________________________________________________________

PHONE:___________________________ E-MAIL_________________________________ DIVISION(Bench Only, Dead Only or Bench & Dead________________

BODY WEIGHT_______________ T-SHIRT SIZE:______ BEST BENCH__________ BEST DEAD LIFT_____________

In consideration of acceptance of this entry, the undersigned intend to be legally bound for myself, my heirs, executors and assign, waive, release, and forever discharge any and all rights and claims for damages which I may have against Chip's 24 Hour Health & Racquet Club, Bamboo Willie's , Pensacola Beach, Staff, Judges, Spectators, participants, and sponsors for any and all damages or injuries sustained and suffered by me in said event. I attest and verify that I am physically fit and sufficiently trained for the completion of this event. I hereby grant full permission to any and all of the foregoing to use any photography, videotapes, motion pictures, recording or any other record of this event for any purposes what ever. I have read the above release and understand that I am entering the King of The Beach Bench Press Contest at my own risk.

SIGNATURE:___________________________________________________DATE:________________________