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:                                                                  

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!!*****