(North American Strongman Inc. Membership Required of all
Contestants)
PROMOTER:
Megan Abshire
DATE: Saturday, August 30, 2008
TIME:
11:00 a.m.
LOCATION: Baja Sports Bar, 519 Bertrand Drive, Lafayette,
LA
DIVISIONS:
Novice and Open, Lightweight (231 and
below), Heavyweight (over 231)
EVENTS: Tire Flip, Truck Push, Log Press, Deadlift, Medley (Farmer’s Walk, Keg Carry, Tire Drag)
Please visit the Events link at pinnacle performance.biz for more specific
information.
AWARDS: Top three places with receive trophies or plaques
ENTRY FEE: $43
ENTRY
DEADLINE: Monday, August 11, 2008
MAKE
ALL CHECKS PAYABLE TO: Pinnacle
Performance, P.O. Box 143, Charenton, LA 70523
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 North American Strongman,
Inc, American Strongman Corp. Willie or Dione Wessels, Expo, Baja Sports Bar, Pinnacle Performance, 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
2008 Louisiana’s Strongest Man Competition and its related events, I hereby
grant NAS 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 NAS
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 NAS
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 NAS
INC. and/or any other approved video or entertainment organization
hereunder. Therefore I affix my signature below:
NAME:
______________________________________________________________________________
AGE: ____________ (you must be 18 years of age to enter)
ADDRESS:_____________________________________________________________________________________________________________________________
CITY:
_________________________________________________________________________STATE:
_____________________ ZIP: ______________________
PHONE:
_____________________________________ EMAIL:
_______________________________________________ DATE OF BIRTH:
_________________
EMAIL:
_______________________________________________________________________________________________________________________________
DIVISION:
____________________ WEIGHT CLASS: __________________________________ HEIGHT:
__________________ SHIRT SIZE: _____________
SIGNATURE:
__________________________________________________________________________________________________________________________
Please
check one.
o
I
have enclosed a nonrefundable registration fee in the amount of $43, made
payable to Pinnacle Performance, and remitted to P.O. Box 143, Charenton, LA 70523.
o A nonrefundable registration fee in the amount of $43 has been made via PayPal at the Events link of pinnacleperformance.biz.