AUGUST 4, 2007
ENTRY FORM
Please complete this form and return it with your Entry Fee of $35.00 (Make checks payable to Great Achievers) by August 1st (Entry Fee $50.00 after August 1) to:
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| Don Weideman | 9444 Windrunner Lane Elk Grove, CA 95758
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| I agree by signing this form for the 2007 Tommy Kono Open (USAW/PWA #38-07-6), that I will abide by all of the rules of USA Weightlifting (USAW) and the Pacific Weightlifting Association (PWA). I will not hold responsible USAW, the PWA, the Officials and Organizers of this event or Sacramento High School for any injuries that may happen to me while competing in, or while traveling to and from this event.
| SIGNATURE_____________________________________________ DATE________________ SIGNATURE OF PARENT (IF UNDER 18 YEARS OLD)________________________________ PLEASE PRINT THE FOLLOWING VERY CLEARLY: NAME___________________________________________ PHONE #(____)______________ ADDRESS________________________________________CITY______________ZIP_______ BODYWEIGHT CLASS________________KG DOB___________ T-SHIRT SIZE_____________ WOMAN ______ 56-85 B SESSION______ 94-105+ B SESSION______ A SESSION_______ 2007 USAW CARD NUMBER______________USAW CLUB_______________________________ EMAIL ADDRESS______________________________________________________________ ENTRY MUST BE POSTMARKED BY AUGUST 1, 2007 TO AVOID LATE FEE & FOR T-SHIRT Any questions may be directed to: Paul Doherty (650) 704 - 2482 or Don Weideman (916) 691 - 0504 
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