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; Kevin@NextGenerationPowerliftingFederation.com
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