Novice Entry

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First Name

Last Name

Phone

Gender

Age at time of competition

Next of kin name

Next of kin phone number

I agree to the Terms and Conditions of Participant Waiver and Release of Liability

By checking this box I agree to the terms and conditions of Participant Waiver and Release of Liability

View Participant Waiver and Release of Liability

I confirm that I am over the age of 18 and that all information provided is accurate. If the lifter is under 18, I confirm that I am the parent or guardian and will be present for the duration of the event while my minor is participating.

By checking this box I confirm that I am over the age of 18 and that all information provided is accurate. If the lifter is under 18, I confirm that I am the parent or guardian and will be present for the duration of the event while my minor is participating.

I understand that this is a no refund event

I understand that this is a no refund event.

Novice Entry

Price: $110.00

PAYMENT INFO

Card

Name on Card