South Carolina State Championship

Oct. 19^th. 2019

South Carolina State Championship

Powerlifting and Bench Press/Deadlift Championship

Hosted by:    Omni Health and Fitness

Venue:   Omni Health and Fitness

Address: 2127 Boundary Street, Suite 18B, Beaufort, SC

Early Weigh In Times: Friday 9”00 am. –  12:00 noon.

Saturday morning weigh ins:  7:00-8:00 am.

Lifters meeting 8:00am. Comp. starts at 8:30am

Cash only day of meet for entry fees on exceptions.

Must also be member of SPF. If you are not, the membership fee is 30.00 for Adults and 20.00 for Teenagers

All records can be set at this event

Full Powerlifting  95.00

Push/Pull   85.00

Squat Only    75.00

Bench Press Only 75.00

Deadlift Only 75.00

All Crossovers are 40.00

There will be a 15.00 late fee after Oct. 4^th. 2019

General Admission: $10.00, Kids 12 and under, Free

Awards: 1^st –  3rd. Places in all Divisions and weight classes. Best Lifter and Team Awards

You can also enter this event by Clicking the link below

https://squareup.com/store/jesse-rodgers/

be sure to fill out the little COMMENT box and tell us what event you are entering and your info just as Raw, Division weight Class, age or what ever

Or call 423-255-3672 with Credit/Card and enter of the phone

Or by filling out this Application and mailing it and your check to:

Jesse Rodgers

7493 Tanya Dr.

Harrison Tn.   37341

Make all checks out to Jesse Rodgers

——————————————————————————————————————————————-

Name of Contest:   South Carolina State Championship        Date: 10/19/19

Print Full Name: ____________________________________ Age:_______

Date of Birth:_______

Address: __________________________________City: ________________

State: _______ Zip: ____

Phone No: _____________________________

Email: ________________________________

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

Parent or Guardian signature:____________________________________________________

NOTICE: ONLY SELECT THE ONES THAT PERTAIN TO THE EVENTS YOU ARE ENTERING.

Check the Division of your choice:

Novice (Division for Beginners)  ___

Open (This Division is for everyone and anyone) ______

NEW: CROSSFIT DIVISION: This division is for individuals who are new to powerlifting and have entered the competition through the encouragement of a crossfit Gym or Trainer. _____

Check the Category that suits you

Raw PL With Wraps: (Belt, Wrist Wraps, Knee Wraps) _____  

Raw PL Without Wraps: (Belt, Wrist Wraps, Knee Sleeves if desired) _______  

Single Ply: (Single Ply Squat Suit and Single Ply Bench Shirt Only) _____    

 Multi-Ply: (Multi Ply Squat Suit and Multi Ply Bench Shirt)  _____    

Divisions: Teenage Men, Teenage Women, 13-15, 16l17, 18-19, Juniors 20-23, Women Open, MenOpen, Sub-Masters 33-39,Police and Fire, Masters 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74,7 5-79, 80+ 

Weight Classes for each Division:  Teenage13-15: _____ Teens: 16-17 _____ Teens 18-19: _____                  Junior(20-23)_____ Women_____   Men _____  Police , Fire, Military_____Sub-masters (33-39)_____
Masters(40-44) ___  Masters(45-49)___Masters(50-54)___Masters(55-59)___Masters(60-64)___Masters(65-69)___ 70-74 _____ Other ________

What Weight Class are you entering?

Wt. Class: 97___114___123___132___148___165___181___198___220___242___259___275___308___Super Heavy___

Must be a SPF Member if you are not already a member send an additional 30.00 (Teenagers 20.00) for your membership card.

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

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

Circle the Event or Events that you are entering:

Full Powerlifting  95.00

Push/Pull   85.00

Squat Only    70.00

Bench Press Only 70.00

Slingshot Bench Press 70.00

Deadlift Only 70.00

All Crossovers are 50.00

Must be a SPF Member if you are not already a member send an additional 30.00 (Teenagers 20.00) for your membership card.

—————————————————————————————————————————————

Mail Entry Forms and Fees to :

Jesse Rodgers – 7493 Tanya Dr. Harrison, Tn. 37341

Make all CHECKS to : Jesse Rodgers

You can also enter this event by Clicking the link below

https://squareup.com/store/jesse-rodgers/

be sure to fill out the little COMMENT box and tell us what event you are entering and your info just as Raw, Division weight Class, age or what ever

Or call 423-255-3672 with Credit/Card and enter of the phone or 

For more info call: Jesse Rodgers – 423-255-3672

Must be a SPF Member if you are not already a member send an additional 30.00 (Teenagers 20.00) for your membership card.

Entry Fee: _____

Cross Over Fee:_____

Membership Fee:_____

Late Fee: _____

Total Amount Due: __________