Name *

First Name

Last Name

Phone *

(###)

###

####

Date of Birth *

MM

DD

YYYY

Equipment Division *

Raw Classic (Bare Knees)

Raw Modern (Sleeves)

Raw Modern (Wraps)

Single Ply

Unlimited

Age Division *

**Teen/Masters will be put in the appropriate age category based on birthday.

Youth or Teenager

Junior (20-23)

Open

Submaster (33-39)

Masters (40+)

Event *

Full Power

Push/Pull

Bench Only

Deadlift Only

Crossover Division

(Add $65)

Push/Pull

Bench Only

Deadlift Only

NONE

Weight Class *

97 lbs

105 lbs

114 lbs

123 lbs

132 lbs

148 lbs

165 lbs

181 lbs

198 lbs

220 lbs

242 lbs

242+ lbs (if female)

275 lbs

308 lbs

SHW

Shirt Size

Small

Medium

Large

XL

2XL

3XL