Armlifting USA Membership Form

FIRST Name *

LAST Name *

Email *

Phone

ADDRESS

CITY

STATE

ZIP CODE

COUNTRY

To determine Class for Sanctioned Meets (GENDER) *

FemaleMale

To determine Class for Meets (AGE) *

UNDER 1818 and Above40 - 4950 - 5960 and Above

To Determine Class for Meets (WEIGHT in pounds) *

MEMBERSHIP OPTION *

You will be redirected to Paypal to make your payment. Once payment is confirmed your membership will be processed. Thank you.ADULT 1 yr Membership - $20ADULT 3 yrs Membership Fee -($10 Savings) -$50ADULT 1 yr Membership - $35 (including T-shirt)ADULT 3 yrs Membership Fee -($10 Savings) -$65 (including T-shirt)International 1 yr Membership Fee -$50 (when including T-shirt)International 3 yrs Membership Fee -$80 (when including T-shirt)

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 Armlifting USA Odd Haugen Presents, LLC., Odd Haugen, Riccardo Magni, Clay Edgin, Chad Clark, any and all sponsors of the event, their representatives and assigns, for any and all injuries incurred by me in conjunction with these contests and in traveling to and from the event. And in further consideration of permission being granted to me to participate in the Armlifting USA Sanctioned events and its related events, I hereby grant Armlifting USA and Odd Haugen Presents, LLC, 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 Armlifting USA, Odd Haugen Presents, LLC, 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 Armlifting USA, Odd Haugen Presents, LLC. 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 Armlifting USA, Odd Haugen Presents, LLC. and/or any other approved video or entertainment organization hereunder. Therefore I affix my signature below:

Date *

Membership Once you click the SUBMIT button, you will be redirected to Paypal to pay for your membership. IF you wish to MAIL in your payment : Mas Wrestling USA 212 Heavenly Valley Rd. Newbury Park, CA 91320

Referred by:

Got Questions? Use the space below.

Armlifting USA Membership Form

Armlifting USA Membership Form

Verification