Pre-Entry Form

Contest Entry Form

All Entry Forms and Entry Fees must be Mailed to:

Kevin Piper, 656 East County Road 300 South New Castle, Indiana 47362

All Money orders , cashiers checks,  payable to Kevin Piper. Sorry NO personal checks

Or e-mail;

This form is for all events, just write in the name of the tournament you are entering

and than check everything that pertains to you and the event. Be sure to know

what all events are offered at the Tournament before filling out this form and only

enter only events that are offered at each tournament.

Name of Contest: ________________________________________________________Date:_______

Print Full Name: _____________________________________ Age:_______ Date of Birth:____________

Address: ______________________________ City: ____________________ State: _______ Zip: _______

Phone No: _____________________________ Email:


Parent or Guardian must sign for you to lift if you are under 18.

Parent or Guardian signature:____________________________________________________

Raw Bench ___ Equipped Bench___ Curl___ Deadlift___  Equipped Deadlift ____ 

You can enter more than one event if you would like, just check the events you want to enter

And send the appropriate fees according to the contest you are entering.

What Divisions are you entering? Youth (8-10)____ Youth (11-12)___ Teenage (13-15)___ Teenage(16-17)____

Teenage(18-19 ) _____ Junior(20-23)_____  Open ___    Sub-masters(35-39)_____

Masters(40-44) ___ Masters(45-49)___Masters(50-54)___Masters(55-59)___Masters(60-64)___Masters(65-69)___

Masters 70/74___ Masters 75/79___ Masters 80/84____ Masters 85/89___  Masters 90/94___        

Men___ , Women______  Police, Fire, Mil_______

What Weight Class are you entering? If you don’t make weight, you go to the one you do make.

Wt. Class: 97__105___114___123___132___148___165___181___198___220___242___275___308___Super Heavy___

Entry fees, One event $60.00 Two events $110.00 Three events $150.00 Four events $190.00
No Checks Day of Meet