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: ________________________________________________________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___
Would you like to make a Donation to help Support the SPF Team at the SPF/GPC World Championship which will be held in Prague, Czech Republic 9/7/10 through 9/12/10.
If so how much $__________ just fill in the amount and add it to your enter fees and we will take it and add to the World Championship fund.
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 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 | 