Iron Instinct: The Wild Gym Open
Venue: The Wild Gym, 6010 NC 16 BUSINESS MAIDEN NC, 28650 Weigh-Ins, Friday: June 11th from 9am-12pm & 3-6pm. Competition is Saturday, June 12th with a mandatory lifters meeting at 8am, competition starts at 9am. Lifters will be emailed with details 4 weeks out with all details. Meet is: Any questions can be emailed to Amanda Forbes at: aforbes.spf@gmail.com or text to 423-617-8463
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Drug Tested /Untested?
*
Please Select
Drug-Tested (*$15 fee applies)
Untested
Age at the time of the meet?
*
Emergency Contact Name
Emergency Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
What Equipement?
Classic Raw
Raw with Wraps
Raw with Sleeves
Single-Ply
Multi-Ply
Unlimited
What Division?
Pre-Teen (age 5-12)
Teen 1 (age 13-15)
Teen 2 (age 16-17)
Teen 3 (age 18-19)
Junior (age 20-23)
Open (Any age / age 24-32)
SubMasters (age 33-39)
Masters 1 (age 40-44)
Masters 2 (age 45-49)
Masters 3 (age 50-54)
Masters 4 (age 55-59)
Masters 5 (age 60-64)
Masters 6 (age 65-69)
Masters 7 (age 70-74)
Masters 8 (age 75-79)
Grand Master (age 80+)
What weight class are you in? (Weight classes top out at the weights listed. If you are 1oz over, you will be listed in the next weight category with no penalties to your lifting status/have until the end of weigh-ins to make weight)
97.0 lbs/ 44kg
105.75 lb / 48 kg
114.5 lb / 52 kg
123.25 lb / 56 kg
132.25 lb / 60 kg
148.75 lb / 67.5 kg
165.25 lb / 75kg
181.75 lb / 82.5 kg
198.25 lb / 90kg
220.25 lb / 100 kg
242.5 lb / 110 kg
259.5 lb / 118 kg
275.5 lb / 125 kg
308.5 lb / 140 kg
308.6+ lb (SHW) / 140.01 + kg
Any Crossovers?
Adaptive
FPM (Fire/Police/Military)
Special Olympics
Your age division & Open
If Adaptive Athlete, what specific accommodations do you need?:
What is your opening attempt for squat (your first attempt)?
What is your opening attempt for bench press (your first attempt)?
What is your opening attempt for Deadlift (your first attempt)?
Do you have an active SPF Membership? *Please note that you must have an active SPF membership at the time of weigh-ins. You may purchase one at www.southernpowerliftingfederation.com
Yes
No
By signing below, I acknowledge and agree to the following: I certify that I am 18 years of age or older. If I am under the age of 18, my parent or legal guardian must review and sign this waiver on my behalf and provide consent for my participation in this event (parent name/ athlete name)I understand that participation in powerlifting, strength sports, warm-ups, competition activities, and related event activities involves inherent risks, including but not limited to strains, sprains, falls, equipment-related injuries, serious bodily injury, permanent disability, and other risks associated with strenuous physical activity. I knowingly and voluntarily assume the risks associated with my participation. To the fullest extent permitted by law, I release and hold harmless the Southern Powerlifting Federation (SPF), its owners, officers, Board members, directors, meet directors, officials, judges, employees, volunteers, representatives, affiliates, event organizers, sponsors, and the event facility from claims arising from the ordinary risks of my participation in this event, except to the extent such a release is prohibited by applicable law. I understand that I am responsible for determining whether I am physically capable of participating. If emergency medical attention is reasonably necessary during the event, I authorize event personnel to obtain or facilitate appropriate emergency assistance. I understand that I remain responsible for any medical expenses incurred on my behalf. REGISTRATION / NO-REFUND ACKNOWLEDGMENTI understand that registration fees and other event-related payments are non-refundable. If I choose to withdraw, drop out, fail to attend, become unable to compete, or otherwise do not participate after registering, I understand that I will not receive a refund or reimbursement from SPF, except where SPF expressly determines otherwise in writing. I understand that my registration is for a competitive sporting event and that submitting payment reserves my position in the event. PARTICIPANT ACKNOWLEDGMENT: By signing below, I confirm that I have read and understand this waiver, have had the opportunity to ask questions, and voluntarily agree to its terms.
My Products
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Full Power (Squat/Bench/Deadlift)
$130.00
$
130.00
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Push/Pull (Bench & Deadlift)
$110.00
$
110.00
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Bench Press Only
$90.00
$
90.00
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Deadlift Only
$90.00
$
90.00
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Drug Tested
$15.00
$
15.00
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9
10
Cross Over(s)
(this can be used for FPM/Adaptive/Special Olympics/ your age group and Open)
$65.00
$
65.00
Quantity
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Payment Methods
Buy with
Buy with
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