This Will Be a NON-SANCTIONED Meet

Tony Conyers Push/Pull Extravaganza This will be a NON-SANCTIONED Meet $5,000 IN CASH and PRIZES

Meet Director: Tony Conyers Venue: 6910 N. Armenia Ave., Tampa, Florida 33604 Date: Saturday, August 18, 2007 Time: Doors open – 8am, Lifting starts at 10am Weigh-in: Friday 10am-8pm and Saturday, August 18, 2007; 8-9am Arrivals/Transportation: Please arrive by 9:00 a.m. Ample parking is available in the front lot. For best directions, please go to www.mapquest.com. Entry Fee: PUSH/PULL Meet: The entry fee for the Push/Pull Meet will be $70 for the first Division entered and $40 for each additional division entered. The Push/Pull Grand Champion will receive $300 worth of supplements. Trophy’s, and possibly other prizes, will be awarded for 1st through 3rd place. The Grand Champion will be determined using the Swartz Formula. Individual Cash Prize Events: There will be 4 Special Events which have CASH Prizes! The 1st Place winner in each special event will receive $350 CASH and 2nd place winners will receive $150 CASH! 3rd place winners in each special event will receive $100 worth of supplements. Special Notice: Prize money amounts could increase to more than said amounts. Each special event has an entry fee of $99. Equipment: NO Equipment can be used on the Biggest Raw Bench and the Bench Press for reps. Equipment can be used in the Push/Pull meet and for the biggest bench and biggest deadlift events. Special Events:  Biggest Bench Press  Bench Press for reps with bodyweight  Biggest Deadlift  Biggest Raw Bench (winner determined by using the swartz formula) Guest Appearances: Dondell Blue; current WPO Middleweight Champion Correspondence: Tony Conyers 813-486-6973 Website: http://www.myspace.com/tonyconyers

Food will be provided by “My House Sports Bar” located on the corner of Columbus and Armenia

Tony Conyers Push/Pull Extravaganza Pitbull Gym 6910 N. Armenia ave. Tampa, Florida 33604 August 18, 2007 Meet Director: Tony Conyers (813) 486-6973 / [email protected] PLEASE PRINT: NAME: ______DATE OF BIRTH: ___/___/___ AGE: ____ SEX: M F ADDRESS: ______CITY: ______STATE: ____ ZIP: ______DAY PHONE: ______EMAIL: ______BODY WEIGHT: ______lb ______MEMBER OF WHAT GYM / FITNESS CENTER / YMCA OR OTHER : Circle Weight Class / Division(s) For Push/Pull : 1. WOMEN: Will be determined using the Swartz Formula 2. MEN: 123 132 148 165 181 198 220 242 275 SHW 3. Master: (over 40) Will be determined using Swartz Formula 4. Firefighter/Police Officer/Military (Any Local, County, State or Federal Officer, Serviceman and/or Firefighter may compete in Police, Military and Fire Division. **Must provide proof of credentials at time of sign-in if asked. NO EXCEPTIONS!) Will be determined using the Swartz Formula. 5. TEEN: Will be determined using the Swartz Formula Each additional Division + ($40 each) # of extra divisions entering ______= $

*Push/Pull Grand Champion will be determined by using the Swartz Formula 1. Push / Pull Meet = $ 70

Circle Special Events Participating in:

1. Bench Press ONLY For Cash = $99

2. Deadlift ONLY For Cash = $99

3. Bench Press for Reps with bodyweight For Cash = $99

4. Biggest Raw Bench (determined by Swartz Formula) For Cash = $99

T-shirts ____small ____med ____large ____XL ____XXL ____XXXL # of shirts x $15 =_____

Total Amount Enclosed =$______*Make Check or Money order payable to: Tony Conyers Mail to: Pitbull Gym 6910 N. Armenia Ave, Tampa, FL 33604 In consideration of my acceptance of this entry, I hereby waive, for my self, my heirs and assign, any and all claims for injury or damage which I may incur by virtue of my competing in this contest against Tony Conyers, Jason Stevens and the Facility used for this competition and any of their agents and employee's. I also realize that the sport of power lifting is a high-risk sport and that I could be injured. I certify that I am in good health and have no serious health problems and that I assume full responsibility for such conditions. I also realize that I am responsible for my well-being and safety in the warm up room, on the lifting platform and while I am lifting at this event. I also certify, by my signature that I have read this waiver and fully understand and accept its terms. I do hereby verify my acceptance by my signature by signing below. Do Not Sign This Waiver Before Reading it Fully And Carefully. If You Do Not Accept its Terms Do Not Sign. ______SIGN DATE PARENTS IF NOT 18 YEARS OF AGE