Athlete Registration Form
I understand that there are NO REFUNDS:
*
I agree
I do not agree
You must agree to the refund policy to register.
Name
*
First Name
Last Name
Relationship to lifter (ex: self, legal guardian)
*
If you are a minor, a legal guardian must fill and sign the waiver
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Gender
*
Male
Female
Birthday
*
-
Month
-
Day
Year
Date
Male Weight Class
Please Select
52kg
65kg
60kg
67.5kg
75kg
82.5kg
90kg
100kg
110kg
125kg
140kg
140+kg
Female Weight Class
Please Select
44kg
48kg
52kg
56kg
60kg
67.5kg
75kg
82.5kg
90kg
100kg
110kg
110+kg
Full Power, Push/Pull, Bench Only, DL Only?
*
Please Select
Full Power
Push/Pull
Bench Only
Deadlift Only
If you would like to register for more than one division, please refer to selections below.
Equipment Division
*
Please Select
Raw
Raw w/ Wraps
Single-Ply
Multi-Ply
T-Shirt Size
*
Please Select
Small
Medium
Large
X-Large
2XL
3XL
4XL
5XL
Age Division
*
Please Select
Open
Junior (14-16)
Junior (17-19)
Junior (20-23)
Sub-master (35-39)
Masters (40-44)
Masters (45-49)
Masters (50-54)
Masters (55-59)
Masters (60-64)
Masters (65-69)
Masters (70-74)
Masters (75-79)
Masters (80+)
If you would like to register for more than one divisions (ex. Junior and Open), please select the additional age division below.
My Products
*
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Entry Fee
Includes entry fee for lifter, entry for one coach, and a meet t-shirt.
$
150.00
Division Crossover
$
30.00
Additional Competition Divisions
Full Power
Bench Only
Deadlift Only
Push/Pull
Additional Crossover
$
30.00
Additional Competition Divisions
Full Power
Bench Only
Deadlift Only
Push/Pull
Additional Crossover
$
30.00
Additional Competition Divisions
Full Power
Bench Only
Deadlift Only
Push/Pull
Age Division Crossover
$
30.00
Additional Age Division
Open
Junior (14-16)
Junior (17-19)
Junior (20-23)
Sub-master (35-39)
Masters (40-44)
Masters (45-49)
Masters (50-54)
Masters (55-59)
Masters (60-64)
Masters (65-69)
Masters (70-74)
Masters (75-79)
Masters (80+)
Credit Card
Submit
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