ONLINE PAYPAL MEET ENTRY PAYMENT
To Mail Entries, Please complete form and submit. Print the Next Page and Mail Payment.

September 28, 2019

5th Set Black

Presented by RPS - Hosted by Swede Burns

Legends of Pittsburgh Fitness - 559 Pittsburgh Mills Cir, Tarentum, PA 15084

Meet Information
Please review the event page for information. Weigh-in schedule will be posted the week of the competition.
There will be weign ins offered the day before and mornign of the event.

Prices include the PayPal processing fee. Mailed entries are still accepted and are not charged the processing fee.
Submitting entry is agreeing to the terms of the liability waiver. No refunds are guaranteed at any time.

1 Division - $108.75

2 Divisions - $147.50 • 3 Divisions - $182.50 • 4 Divisions - $218.5
An Extra Division is the same as a Crossover

Entry Fees •Phone

Competitor's Name (please no " or ' when filling form - Paypal does not like them)

Street Address

City, State, Zip

E-mail Address

Age Birthdate

You are Registering for

Events (*adding additional events is the same as additional divisions)

Event 1	Event 2*
Event 3*	Event 4*

Weight Class Sex

Divisions: Multi-Ply, Single-Ply, Raw Classic (no knee wraps), Raw Moden (w/ knee wraps)
Division 1 Division 2
Division 3 Division 4

Class: Amateur, Professional, Elite*, Police Pro, Police Am, Military Pro, Military Am
(*Elite $100 Mandatory Test Fee to be paid prior to start of meet)
Class 1 Class 2
Class 3 Class 4

Age Divisions: Open, Teen, Junior (20-23), Submaster (33-39), Master
Age Division 1 Age Division 2

T-shirt Size
t-shirts are not guaranteed, lifter and/or sponsorship participation will determine availablilty. t-shirts will only be provided to lifters who enter by the entry deadlines.

ONLINE PAYPAL MEET ENTRY PAYMENT To Mail Entries, Please complete form and submit. Print the Next Page and Mail Payment.