2023 LAs STRONGEST REGISTRATION FORM

Entry Fee: *PLEASE Select event(s) you will participate in: Strongman Open, Novice, or Masters

FIRST Name *

LAST Name *

Email *

Phone

Address *

CITY *

STATE *

ZIP CODE *

BRIEF Description of athletic accomplishments

To determine Class Meets (GENDER) *

FemaleMale

To determine Class for Meets (AGE) *

UNDER 2020 and Above40 and above

To Determine Class for Meets (WEIGHT in Pounds) *

SHIRT Size *

ADULT SmallADULT MediumADULT LargeADULT XLADULT 2xlADULT 3xl

WAIVER - Please Read and Sign below *

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 METROFLEX GYM, The Training Hall by Odd E. Haugen, Valhalla Strength Sports, LLC., Odd Haugen Presents, LLC., Strongman Corporation, any and all sponsors of the event, their representatives and assigns, for any and all injuries incurred by me in conjunction with this competition and in traveling to and from the event. And in further consideration of permission being granted to me to participate in the LA Strongest and its related events, I hereby grant Chris Redd 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 here-under 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 Chris Redd 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 Chris Redd 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 Chris Redd and/or any other approved video or entertainment organization here under. Therefore I affix my signature below:

Date *

Registration FEE Once you click the SUBMIT button, you will be redirected to Paypal to pay your Registration Fee. IF you wish you may MAIL in your payment to : Chris Redd c/o Barbell Brigade 646 Gibbons St, Los Angeles CA 90031

Birth Date *

2023 LAs STRONGEST REGISTRATION FORM

2022 LA's Strongest

Verification

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