Nov. 5th. 2011
South Carolina State Powerlifting Championship
Powerlifting, Bench Press and Deadlift
Venue: North Myrtle Beach Aquatic and Fitness Center
1100 2nd. Ave. South. North Myrtle Beach SC. 29582
For more info call Jesse Rodgers 423-255-3672
Events that you can enter and the Prices for each event:
Raw, Single Ply, or Multi-Ply Full Powerlifting 85.00
Raw, Single Ply, or Multi-Ply Push/Pull 85.00
Raw, Single Ply, or Multi-Ply, Squat Only 70.00
Raw, Single Ply, or Multi-Ply Bench Bench Only 85.00
Raw, Single Ply, or Multi-Ply, Deadlift Only 75.00
Bench Press for Reps 50.00
Divisions: Teenage Men, Teenage Women, Juniors, Women, Men Sub-Masters,
Police and Fire, Masters 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74,7 5-79, 80+
Weight Classes for each Division: 97, 114, 123, 132, 148, 165, 181, 198, 220, 242, 259,
275, 308, Super Heavy
Must be a SPF Member if you are not already a member send an
additional 30.00, (Teenagers 20.00) for your membership card.
Early Weigh In Times: Friday, 900 am. 12:00pm (Lunch)
maybe again from 4:00pm.- 6:00pm Friday
Day of Meet weigh ins: 7:30am - 8:30
Lifters Briefing: 8:30am.
Meet starts at 9:00am. Sharp
Entries must be in by Oct.25 or there will be aa 15.00 late fee. This will apply the day of the event.
CASH ONLY DAY OF EVENT. THERE WILL BE NO EXCEPTIONS.
General Admission: $5.00, Kids 12 and under, FreeAwards: 1st 3rd. Places in all Divisions and weight classes. Best Lifter and Team Awards
Mail Entry Forms and Fees to :Jesse Rodgers, 7493 Tanya Dr. Harrison, Tn. 37341
Make all Checks Payable to: Jesse Rodgers. For more info call 423-255-3672. For Entry forms: go to our web site, www.southernpowerlifting.com
__________________________________________________________________________________
Contest Entry Form
All Entry Forms and Entry Fees must be Mailed to:
Jesse Rodgers, 7493 Tanya Dr. Harrison, Tn. 37341
All CHECKS, PAYABLE to Jesse Rodgers
This form is for all events, just write in the name of the tournament you are entering
and than check everything that pertains to you and the event. Be sure to know
what all events are offered at the Tournament before filling out this form and only
enter only events that are offered at each tournament.
Name of Contest: South Carolina State Powerlifting Championship Date: 11/5/11
Print Full Name: ________________________________ Age:_______ Date of Birth:_______
Address: ____________________________ City: ________________ State: _______ Zip: ____
Phone No: _____________________________ Email: ________________________________
Parent or Gardian must sign for you to lift if you are under 18.
Parent or Guardian signature:____________________________________________________
Select the Events pertaining to the Contest you are entering:
NOTICE: ONLY SELECT THE ONES THAT PERTAIN TO THE EVENTS YOU ARE ENTERING.
Single Ply Powerlifting _____ Raw Full Powerlifting____
Single Ply Push/Pull ____ Raw Push / Pull____
Single Ply Squat Only _____ Raw Squat Only _____
Single Ply Bench Press______ Raw Bench Press ____
Single Ply Deadlift _____ Raw Deadlift ____
Strict Curls ______ Bench Press for Reps _______
You can enter more than one event if you would like, just check the events you want to enter
And send the appropriate fees according to the contest you are entering.
What Divisions are you entering?
Teenage: _____ Junior(20-23)_____ Women_____ Men _____ Police , Fire, Military_____Sub-masters(33-39)_____
Masters(40-44) ___ Masters(45-49)___Masters(50-54)___Masters(55-59)___Masters(60-64)___Masters(65-69)___ Other ________
What Weight Class are you entering? If you donβt make weight , you go to the one you do make.
Wt. Class: 97___114___123___132___148___165___181___198___220___242___259___275___308___Super Heavy___
Entry Fees: Send the amount as advertised for each event. If you are not a member of the SPF or if you need to renew your membership, send extra 30.00, (Teenagers 20.00) with this application.
Membership card must be up to date of the tournament or more.
All APPLICATIONS and FEES must be mailed to Jesse Rodgers, 7493 Tanya Dr. Harrison, Tn. 37341
Make all Checks payable to Jesse Rodgers
