. For more info call 423-255-3672. For Entry forms: go to our web site,
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.
All Women will lift on Saturday Plus anyone the is in the 220 weight class and under will lift on Saturday regardless of what Division you are in. So this does include Juniors Subs and Masters.
Everyone other then Women, 242 and up will lift on Sunday. So this does include Juniors Subs and Masters
Name of Contest: SPF National Powerlifting Championship Date:6/05/10 and 6/6/10
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.
Multi Ply- Full Powerlifting:____ Raw Full Powerlifting____ Single Ply Powerlifting ____
Multi-Ply- Push / Pull ____ Single Ply Powerlifting ______ Raw Push / Pull____
Mulit-Ply- Squat Only____ Single Ply Squat _______ Raw Squat Only _____
Multi-Ply- Bench Press ____ Single Ply Bench _______ Raw Bench Press ____
Multi-Ply- Deadlift ____ Single Ply Deadlift _______ Raw Deadlift ____
Bench Press Reps. _____ Strict Curls ______
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___
What song do you like to hear while lifting: ( No cussing or it will not get played)
Name of Song:_________________________By who:_______________________
Write where we can read it, and we will try our best to get your song and get it played for you at Nationals.
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
