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

423-344-7161 or 423 255-3672 or E-mail: rodgersmadmax@bellsouth.net

 

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:   ________________________________________________________Date:_______

 

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:

(In the Equipped Full Powerlifting or Equipped Squat, Only Single Ply Squat Suit, Deadlift Suit and Briefs  are allowed,

 

 

NOTICE: ONLY SELECT THE ONES THAT PERTAIN TO THE EVENTS YOU ARE ENTERING.

Multi Ply- Full Powerlifting:____    Raw Full Powerlifting____   Single Ply Powerlifting ____  

Multi-Ply- Push / Pull ____               Raw Push / Pull____       Single Ply Push/Pull ______

Mulit-Ply- Squat Only____               Raw Squat Only _____  Single Ply Squat Only _____

Multi-Ply- Bench Press ____            Raw Bench Press ____   Single Ply Bench Only _____

Multi-Ply- Deadlift ____                   Raw Deadlift ____          Single Ply Deadlift Only

Raw Bench Press Repetitions _____

Strict Curl Competition  _____

 

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 don’t 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 $25.00 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