West Madison Weightlifting Presents...2017 Badger State Games!
IT'S TIME! Time to start thinking about and preparing for the 2017 Badger State Games. As usual, this will be a USA Weightlifting sanctioned event, and we are so thrilled to be taking the lead this year! Murph and his Milwaukee Barbell team did a fabulous job last year, and we are honored to be the next hosts.

Without further ado, here are some details:

WHEN: Saturday, July 22nd and Sunday, July 23rd
WHERE: Functional Integrated Training / West Madison Weightlifting, Madison, WI

REGISTRATION DEADLINE: Saturday, July 8th
PRICING: $60 from now through Saturday, June 10th; $70 from Sunday, June 11th through Saturday, July 8th.

*This is a USA-W sanctioned meet. You must be a USA-W member. Not a member yet? Head here: https://webpoint.usaweightlifting.org/

start
 
What is your first and last name?

 
What is your full mailing address? Please include state and zip code.

 
What is your phone number? Please include area code.

 
What is your age and birthdate?

 
This is a USA-W sanctioned meet. What is your USA-W member number?

 
What has been your most recent competition total (in kg)? Please include the date & year of this total.

 
What weight class (in kg) will you be competing in?


 
What shirt size would you prefer? All sizes are normal unisex sizing. *


 
There will be an official waiver to sign at weigh-ins. *

Please enter me in the 2017 Badger State Games to be held on July 22nd and 23rd, 2017, at Functional Integrated Training. In consideration of my entry in the competition, I do hereby waive, and release USA Weightlifting, Functional Integrated Training, West Madison Weightlifting, Badger State Games, and their respective directors, officers, officials, agents, and competition personnel, hereinafter known as the "Organizers," from any and all causes of action, loss, liability, claims and demands of every kind and nature, which I or my heirs or personal representatives may have for bodily injury, for expenses of medical treatment, hospitalization, and other care rendered to me in the event of my injury or illness, or for any and all other costs, damages or loses suffered or incurred by me or occasioned to me in connection with my travel to and from, and my participation in, the competition and related activities, except that the forgoing waiver and release shall not apply to injuries, damages, and losses resulting from the gross negligence and/or wanton misconduct of the Organizers or to bodily injuries and medical expenses covered by accidental death, dismemberment and/or loss of sight and medical reimbursement insurance policies maintained by the Organizers.
 
I agree to be filmed and photographed, and give Organizers the right to record and make use of content for promoting the competition and the success of the weightlifting team on which I compete, to promote the image of USA Weightlifting, its sponsors and advertisers, and the sport of amateur weightlifting.
 
I (and my parent or guardian, if I am a minor), agree that the Organizers and its agents, including competition personnel, may make judgments (with appropriate input from available medical personnel), as to my treatment, hospitalization or other medical care in the event of my illness or accidental injury in connection with my participation in the competition, should I be disabled or incompetent to make necessary and appropriate decisions concerning such treatment, hospitalization or other care. I authorize the Organizers, its agents and competition personnel to make such decisions for me as though they stood in a relationship to me of parent, guardian or next of kin should circumstances require the Organizers, its agents and competition personnel to make such judgments, and my next of kin cannot be timely and conveniently contacted to participate in the making of such judgments.
 
I hereby release and agree to hold the Organizers, its agents and competition personnel harmless from all expenses, causes of action, liability, claims and demands arising from good faith judgments made by the Organizers, its agents and competition personnel concerning my treatment, hospitalization and medical care in the event of my illness, injury or other emergent circumstances in connection with the competition.
 
I (and my parent or guardian, if I am a minor), agree that I will be financially responsible for treatment, hospitalization and other medical care rendered to me in the event of my illness, injury or other emergency circumstances in connection with the
competition, except to the extent my injuries and medical expenses, if any, are covered by accidental death, dismemberment and/or loss of sight and medical reimbursement insurance policies maintained by the Organizers for my benefit, in which event I will nevertheless continue to be financially responsible for expenses of treatment, hospitalization and other medical care in excess of such policies' limits.
     
 
Please share your emergency contact's name and phone number.

Thank you for submitting your registration form! We are looking forward to a positive, successful competition weekend! Make sure to follow our Facebook event page for schedule, startlist, prizes, and more updates as we get closer to the competition.

To complete your registration, you must submit payment. Please navigate to this site to do so: https://2017badgerstategames.eventbrite.com

*NOTE, if we do not receive payment, you will NOT be included in the competition roster.

Wishing you all the best in your training, and see you in July!
again
Powered by Typeform
Powered by Typeform