Iowa Open & State Championship 2025 Registration Form

Iowa Open & State Championship 2025 Registration Form
Customer Details:
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
Current ADFPF Membership? (2025)
Age on day of meet (April 12th, 2025)
Weight Class in Kilos
Select Full Powerlifting Division (Squat-Bench-Deadlift)
Single Event - Select all that you intend to compete in

Squat - UnequippedSquat - EquippedSquat - Modern RawBench Press - UnequippedBench Press - EquippedDeadlift - UnequippedDeadlift - Equipped
Best Unequipped Squat
Best Unequipped Bench Press
Best Unequipped Deadlift
Best Equipped Deadlift
Best Equipped Deadlift
Best Equipped Deadlift
Have you ever been drug tested?
If so, approximate date(s) of Testing:
Method(s) of Testing (check all that apply)

UrinalysisPolygraph
Have you been drug-free your entire life?
List Medications taken during the past 2 weeks
A liability waiver will be provided the day of the meet prior to weigh-in. A completed form with signature will be required for participation.

I understandI do not understand and would like more information
Payment Information

Full powerlifting meet = $60

Single event = $40 for 1st single event entered, and each additional event is $20.

Entries with fees must be submitted prior to March 29th, 2025. Late entries will cost an additional $30 but are only accepted up to April 5th and there is zero guarantee of a shirt or medal.

Fees are not refundable.
Pre-Order t-shirts are $20. If any shirts are available on meet day they will cost $25

SmallMediumLargeX-LargeXXLargeXXXLargeI do not wish to purchase a shirt
Preferred method of payment (Note: Payment is required prior to weigh-in)

CashCheckVenmo (@Robertson0503)
Should be Empty: