Athlete Registration Form

Name *

First Name

Last Name

Date of birth *

MM

DD

YYYY

Competition Division *

AAC Qualifying Division

Novice Division

Weight Division *

Athletes are able to change weight classes after registering. Qualifying Division Athletes are required to do a 24hr weight in.

Womens U64kg

Womens U73kg

Womens U82kg

Womens U90

Womens Open

Mens U80

Mens U90

Mens U105

Mens U120

Mens Open

RELEASE WAIVER, TERMS & CONDITIONS (PLEASE READ CAREFULLY) *

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, WA Strongman 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 travelling to and from the event. And in further consideration of permission being granted to me to participate in the­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­ WASM's Competitions and its related events, I hereby grant WA Strongman, and/or any other approved video or entertainment organisation 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 any time in connection therewith. Nothing contained herein shall be deemed to obligate WA Strongman and/or any other approved video or entertainment organisation, 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 WA Strongman and/or any other approved video or entertainment organisation 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 WA Strongman and/or any other approved video or entertainment organisation hereunder. Therefore I affix my acknowledgment below:

I Agree