ONLINE PAYPAL MEET ENTRY PAYMENT

3rd Annual Jim Phillips Memorial Classic

Presented by RiverCity Barbell

Saturday January 18, 2025

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.

1 Division - $103.00

2 Divisions - $143.00 • 3 Divisions - $183.00 • 4 Divisions - $223.00
An Extra Division is the same as a Crossover

Entry Fee

•Phone

•Phone number is required due to Smart Phone or Tablet entries being received blank.

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

Street Address

City, State, Zip

E-mail Address

Age Birthdate

Choose Which Meet 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