Southern Powerlifting Federation

Awards: 1^st � 5th. 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

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

423 255-3672 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: SPF Brute Strength Powerlifting Championship Date: Feb. 20th.

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:____ Single Ply Powerlifting _____ Raw Full Powerlifting____

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

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

Multi-Ply- Bench Press ____ Single Ply ______ Raw Bench Press ____

Multi-Ply- Deadlift ____ Single Ply _____ Raw Deadlift ____

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 $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

SPF Brute Strength Powerlifting and Bench Press Classic

February 20, 2010

For more info call Jesse Rodgers: 423-255-3672