rural rumble 3 entry .pdf

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Original filename: rural rumble 3 entry.pdf
Author: Phil Gruentzel

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MuscleMine presents:

rural rumble 3
United States Strongman, Inc. Contest Entry Form MuscleMine Rural Rumble 3
Contest Director: Phil Gruentzel
Contact: 443-277-5930
Date & Time: October 13, 2018
Weigh-in:

Friday October 12, from 2pm to 8pm & Saturday October 13 from 8am to 9am

Location:

The Gym
400 North Center St
Westminster, MD 21157

Hotel: TBD
Divisions:
Women’s:
Novice: LWW (<148) Novice HWW (148+)
Open: LWW (<123, 132) MWW (148, 165) HWW (181, 198) SHWW (242, 242+)
Men’s:
Novice: LWM (<220) Novice HWM (220+)
Master’s: LWM (<220) Master’s HWM (220+)
Open: LWM (<165, 181) MWM (198, 220) HWM (242, 275) SHWM (308, 308+)
**Classes with fewer than 3 athletes will be combined**
Events:
1. Max Log
2. Increasing Weight Car Deadlift
3. Harnessed Truck Pull
4. Fingal Finger
5. 5 Stone Series
See facebook event page for details
**Events and Weights Subject to Change**

Awards: Awards for 1st through 3rd in each class
Entry Fees: $50 for first 20 competitors, Competitors 20 through 60 will be $60, After 60
Competitors will be $75.
Entry Deadline: October 1, 2018.
Online Entry: Email forms to

themusclemine@gmail.com

Payment: Paypal: themusclemine@gmail.com
Mail Entries & Fees:

or

checks made out to "MuscleMine"

The Gym
Attn: Rural Rumble 3
400 N. Center St.
Westminster, MD. 21157

In consideration of your acceptance of this entry, I hereby, for myself, my heirs, executors and administrators, and my assignees,
waive and release all rights and damages I may have against United States Strongman, Inc., Willie Wessels,any and all sponsors of
the event, their representatives and assigns, for any and all injuries incurred by me in conjunction with these championships and in
traveling to and from the event. And in further consideration of permission being granted to me to participate in the United States
Strongman, Inc. CONTEST and its related events, I hereby grant United States Strongman, Inc., and/or any other approved video
or entertainment organization and all of their agents, successors, licensees and assigns, the right to photograph or otherwise
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 to any merchandising, advertising and/or publicity, and the right to use my name and information about me in any
connection with any of the foregoing. The rights granted by me hereunder are granted for the entire universe and shall endure in
perpetuity and no further compensation shall be payable to me at anytime in connection therewith. Nothing contained herein shall
be deemed to obligate United States 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 any time without further consent. I understand that United States
Strongman, Inc. and/or any other approved video or entertainment organization, are videotaping and photographing the Event in
express reliance upon the foregoing, and I represent and agree that I am free to grant the rights granted to United States
Strongman, Inc.. and/or any other approved video or entertainment organization hereunder. Therefore I affix my signature below:

Name: _________________________________________________________________________________ DOB:_______________________
Address_____________________________________________________________________________________________________________
City:________________________________________________________ State:_____________ Zip Code:_________________________
Phone:______________________________________________________________________ Shirt Size:____________________________
Email:_______________________________________________________________________________________________________________
Division:_________________________ Weight Class: ________________ Height:_______________

Signature:_____________________________________________________________________________ Date: ______________________
Parent/Guardian Signature (if under 18):__________________________________________________ Date: ________________


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