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GREENE COUNTY FAIR SHOW OF STRENGTH 2
(North American Strongman Inc. Membership Required of all Contestants)
PROMOTER: Kathy and Erica Barnett
DATE: August 4, 2012
TIME: 10.00am. (weigh ins 9.00am.)
LOCATION: GREENE COUNTY FAIRGROUNDS 120 Fairground Rd. Xenia Oh, 45385
HOTEL: Ramada Inn Xenia oh, 45385
DIVISIONS: all offered . There must be a minimum of three entries per division, otherwise the athlete will be moved up to the next weight class.
EVENTS: Atlas stones, Tractor Deadlift for reps, Ohio stone circle, Overhead press medley, Giant tire walk.
AWARDS: medals
ENTRY FEES: 50.00 for NAS members, 90.00 for non-members. .
ENTRY DEADLINE: day of show (early entries appreciated) .
MAKE ALL CHECKS PAYABLE TO: Kathy Barnett 372 Center St. Xenia Ohio 45385
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 Greene County Fairgrounds, North American Strongman, Inc, American Strongman Corp. Willie or Dione Wessels, Expo, 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 Greene County Fair Show of Strength 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: _____________________________
ADDRESS:____________________________________________________________________________________________________________________________
CITY: _________________________________________________________________________STATE: _____________________ ZIP: ______________________
PHONE: _____________________________________________________ DATE OF BIRTH: ________________________________________________________
EMAIL: _______________________________________________________________________________________________________________________________
DIVISION: ______________________________________WEIGHT CLASS __________________________________HEIGHT: __________________________
SIGNATURE:__________________________________________________________________________________________________________________________
(PARENT OR GUARDIAN SIGNATURE REQUIRED IF CONTESTANT IS UNDER 18 YEARS OF AGE)
(North American Strongman Inc. Membership Required of all Contestants)
PROMOTER: Kathy and Erica Barnett
DATE: August 4, 2012
TIME: 10.00am. (weigh ins 9.00am.)
LOCATION: GREENE COUNTY FAIRGROUNDS 120 Fairground Rd. Xenia Oh, 45385
HOTEL: Ramada Inn Xenia oh, 45385
DIVISIONS: all offered . There must be a minimum of three entries per division, otherwise the athlete will be moved up to the next weight class.
EVENTS: Atlas stones, Tractor Deadlift for reps, Ohio stone circle, Overhead press medley, Giant tire walk.
AWARDS: medals
ENTRY FEES: 50.00 for NAS members, 90.00 for non-members. .
ENTRY DEADLINE: day of show (early entries appreciated) .
MAKE ALL CHECKS PAYABLE TO: Kathy Barnett 372 Center St. Xenia Ohio 45385
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 Greene County Fairgrounds, North American Strongman, Inc, American Strongman Corp. Willie or Dione Wessels, Expo, 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 Greene County Fair Show of Strength 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: _____________________________
ADDRESS:____________________________________________________________________________________________________________________________
CITY: _________________________________________________________________________STATE: _____________________ ZIP: ______________________
PHONE: _____________________________________________________ DATE OF BIRTH: ________________________________________________________
EMAIL: _______________________________________________________________________________________________________________________________
DIVISION: ______________________________________WEIGHT CLASS __________________________________HEIGHT: __________________________
SIGNATURE:__________________________________________________________________________________________________________________________
(PARENT OR GUARDIAN SIGNATURE REQUIRED IF CONTESTANT IS UNDER 18 YEARS OF AGE)
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