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

April 5, 2025

RPS Dominion

Presented By Gaglione Strength - 32 Allen Blvd, Farmingdale NY 11735

Meet Information
Please review the event page for information.

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.

$125 Entry - $35 Crossover - $10 Spectators

1 Division - $128.75

2 Divisions - $127.50 • 3 Divisions - $202.50 • 4 Divisions - $238.5
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 Modern (w/ knee wraps), Unlimited (Pro Only)
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.