TOMMY KONO OPEN - III ENTRY

TOMMY KONO OPEN - III
AUGUST 10, 2008
ENTRY FORM

Please complete this form and return it with your Entry Fee: $35.00 Seniors or Masters; $20.00 Juniors
(Make checks payable to Dave Swanson)

Dave Swanson
PO Box 693
Lincoln, CA 95648

I agree by signing this form for the Tommy Kono Open - III (USAW/PWA #38-08-10), 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_____________ JUNIOR _______ MASTER ________ WOMAN ________ 56-85 ________ 94-105+ ________ 2008 USAW CARD NUMBER_______________USAW CLUB________________________________ EMAIL ADDRESS________________________________________________________________ ENTRY MUST BE POSTMARKED BY JULY 31, 2008 TO AVOID LATE FEE Any questions may be directed to Dave Swanson (916) 768-9616


Please complete this form and return it with your Entry Fee: $35.00 Seniors or Masters; $20.00 Juniors (Make checks payable to Dave Swanson)

	Dave Swanson PO Box 693 Lincoln, CA 95648



I agree by signing this form for the Tommy Kono Open - III (USAW/PWA #38-08-10), 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_____________ JUNIOR _______ MASTER ________ WOMAN ________ 56-85 ________ 94-105+ ________ 2008 USAW CARD NUMBER_______________USAW CLUB________________________________ EMAIL ADDRESS________________________________________________________________ ENTRY MUST BE POSTMARKED BY JULY 31, 2008 TO AVOID LATE FEE Any questions may be directed to Dave Swanson (916) 768-9616