OLYMPUS STRONGMAN ENTRY FORM
OLYMPUS GYM – RTE 4 –
DUNKIRK, MD
SATURDAY JUNE 22nd 2002 /
STARTS AT 11:00AM
ENTRY FORM
By entering this contest I realize that
a Strongman Contest of this nature is a dangerous sport where
injury, serious injury and/or death may occur. In consideration
of my entry, I hereby waive all claims for myself, my administrators, and
my heirs against any/all officials, sponsors or organizations however
remotely connected with North American Strongman Society’s, Olympus Gym,
(Dunkirk, MD), Samson-Power, Mark Keshishian, Graham Bartholomew,
North American Strongman Society or Willie Wessels, which may occur while
traveling to and from this contest and while participating in this
contest.
NAME:
AGE:
ADDRESS:
CITY:
STATE: ZIP
PHONE:
DATE OF BIRTH:
DIVISION:{CIRCLE ONE} LIGHT
MID HEAVY WT:
T-SHIRT SIZE:{CIRCLE ONE}
L XL 2X 3X
ALL CONTESTANTS MUST
SIGN ENTRY WAIVER!
SIGNATURE:
(PARENT OR GUARDIAN SIGNATURE
REQUIRED IF CONTESTANT IS UNDER 18 YEARS OF AGE)
Please make checks payable
to: GRAHAM BARTHOLOMEW
Mail to: 2698 MORAN DR, WALDORF, MD 20601
Any questions: 3018938290
{AFTER 8:30PM}or E-MAIL: grahambo1@mindspring.com
DIRECTIONS: FROM NO. VA, DC,
PG.COUNTY --- TAKE BELTWAY TO RTE 4 EAST – TAKE RTE 4 EAST TO DUNKIRK,MD…OLYMPUS
GYM IS ON THE RIGHT {AT THE END OF A SHOPPING CENTER} AT THE FIRST MAIN
INTERSECTION IN CALVERT COUNTY!
FROM NO.PG., BALTIMORE,
NORTHERN & EASTERN MD,DE,NJ,PA --- TAKE MD BELTWAY SOUTH TO RTE 4
EAST..proceed as above OR TAKE RTE 50 WEST TO RTE 301 SOUTH – TAKE 301
SOUTH TO RTE 4 EAST .. proceed as above
FROM THE SOUTHERN
AREAS:---TAKE RTE 301 NORTH TO RTE 4 EAST .. proceed as above!
THE OLYMPUS
GYM IS NOT HARD TO FIND – PHONE3018550835
*****BRING SOME FAMILY &
FRIENDS TO HELP GET YOU FIRED UP!!*****
