2021 USAPL Idaho State Championships Sanction ID: ID-2021-01

Looking to Volunteer at the State Championships?? Click Here!!

Registration Closes 3/13/2021

Days

Hrs

Min

Sec

Name *

First

Last

Team Name

Date of Birth *

USAPL Powerlifting Member # *

Must be a current member and present a digital or hard copy at competitor check in.

Click Here to look up your membership number.

USAPL Membership Expiration Date *

Click Here to renew or purchase your USAPL membership.

Gender

Female
Male

Discipline *

Raw: Using only the following gear & accessories: Non-supportive singlet, T-shirt, Briefs, Socks, Belt, shoes, wrist wraps, single-ply neoprene knee sleeves without attaching and/or tightening mechanisms like Velcro, clips or straps.
Equipped: Supportive gear such as bench shirt and knee wraps

WOMEN'S RAW

Women’s Raw Open (all ages)
Women’s Raw Youth 1 (8-9)
Women’s Raw Youth 2 (10-11)
Women’s Raw Youth 3 (12-13)
Women’s Raw Teen 1 (14-15)
Women’s Raw Teen 2 (16-17)
Women’s Raw Teen 3 (18-19)
Women’s Raw Junior (20-23)
Women’s Raw Masters 1a (40-44)
Women’s Raw Masters 1b (45-49)
Women’s Raw Masters 2a (50-54)
Women’s Raw Masters 2b (55-59)
Women’s Raw Masters 3a (60-64)
Women’s Raw Masters 3b (65-69)
Women’s Raw Masters 4a (70-74)
Women’s Raw Masters 4b (75-79)
Women’s Raw Masters 5 (80+)

Select all that apply. Additional divisions $25 each, paid during checkout.

WOMEN'S EQUIPPED

Women’s Equipped Open (all ages)
Women’s Equipped Youth 1 (8-9)
Women’s Equipped Youth 2 (10-11)
Women’s Equipped Youth 3 (12-13)
Women’s Equipped Teen 1 (14-15)
Women’s Equipped Teen 2 (16-17)
Women’s Equipped Teen 3 (18-19)
Women’s Equipped Junior (20-23)
Women’s Equipped Masters 1a (40-44)
Women’s Equipped Masters 1b (45-49)
Women’s Equipped Masters 2a (50-54)
Women’s Equipped Masters 2b (55-59)
Women’s Equipped Masters 3a (60-64)
Women’s Equipped Masters 3b (65-69)
Women’s Equipped Masters 4a (70-74)
Women’s Equipped Masters 4b (75-79)
Women’s Equipped Masters 5 (80+)

Select all that apply. Additional divisions $25 each, paid during checkout.

MEN'S RAW

Men’s Raw Open (all ages)
Men’s Raw Youth 1 (8-9)
Men’s Raw Youth 2 (10-11)
Men’s Raw Youth 3 (12-13)
Men’s Raw Teen 1 (14-15)
Men’s Raw Teen 2 (16-17)
Men’s Raw Teen 3 (18-19)
Men’s Raw Junior (20-23)
Men’s Raw Masters 1a (40-44)
Men’s Raw Masters 1b (45-49)
Men’s Raw Masters 2a (50-54)
Men’s Raw Masters 2b (55-59)
Men’s Raw Masters 3a (60-64)
Men’s Raw Masters 3b (65-69)
Men’s Raw Masters 4a (70-74)
Men’s Raw Masters 4b (75-79)
Men’s Raw Masters 5 (80+)

Select all that apply. Additional divisions $25 each, paid during checkout.

MEN'S EQUIPPED

Men’s Equipped Open (all ages)
Men’s Equipped Youth 1 (8-9)
Men’s Equipped Youth 2 (10-11)
Men’s Equipped Youth 3 (12-13)
Men’s Equipped Teen 1 (14-15)
Men’s Equipped Teen 2 (16-17)
Men’s Equipped Teen 3 (18-19)
Men’s Equipped Junior (20-23)
Men’s Equipped Masters 1a (40-44)
Men’s Equipped Masters 1b (45-49)
Men’s Equipped Masters 2a (50-54)
Men’s Equipped Masters 2b (55-59)
Men’s Equipped Masters 3a (60-64)
Men’s Equipped Masters 3b (65-69)
Men’s Equipped Masters 4a (70-74)
Men’s Equipped Masters 4b (75-79)
Men’s Equipped Masters 5 (80+)

Select all that apply. Additional divisions $25 each, paid during checkout.

Weight Classes

Youth

Female <30 kg
Female >30 kg
Female >35 kg
Male <30 kg
Male >30 kg
Male >35 kg
Male >40 kg
Male >44 kg

Female

43 kg
47 kg
52 kg
57 kg
63 kg
69 kg
76 kg
84 kg
84+ kg

Male

Up to 53kg (applies only to sub-junior and junior lifters)
59 kg
66 kg
74 kg
83 kg
93 kg
105 kg
120 kg
over 120 kg

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Event *

PL- Full Power: Squat, Bench, Deadlift
PP- Push/Pull: Bench and Deadlift
BP- Bench Press Only
DL- Deadlift Only

Shirt Size *

Women’s XS
Men's XS
Women's S
Men's S
Women's M
Men's M
Women's L
Men's L
Women's XL
Men's XL
Women's 2XL
Men's 2XL
Women's 3XL
Men's 3XL
Women's 4XL
Men's 4XL

Competitor Notes

If we need to know, type it here. Paying for someone else? Type it here to link payment and entry form. Thank you.

Sign Me Up! Check all that apply. *

Competitor Entry Fee: $160.00
Additional Division Fee: $25.00

Registration Must Be Submitted by 3/13/2021

Acknowledgement of Terms: By typing your name in the box below, you affirm that you understand there are no refunds after submission. No late registrations will be permitted. Entry fees are non-refundable. After you submit this form, you will be taken a payment screen. Here you will select: Entry Fee as well as any additional events or division fees to be added to your cart. Additional divisions and events must be paid in junction with your entry fee at check out. Proceed to check out to login (or create a login) and finalize your Competitor Entry. Incomplete payment will not allow multiple age classes. If you have any questions, please contact mecca@themeccagym.com Competitor, listed above, participating in the USAPL State Championships and consent for the purpose of enabling the competitor to compete in the USAPL State Championships. Competitor further agree that this consent shall constitute to hold The Mecca Gym, its successors, and/or assigns, owners, officers, director, employees, and agents harmless from all claims which may be brought against them by the undersigned persons, Competitor, or Competitors behalf or by Member’s family for any such injuries or claims aforesaid and the undersigned person(s) for themselves and on behalf of Competitor and his family, executers, administrators, and personal representatives do hereby forever release The Mecca Gym, its successors, and/or assigns, owners, officers, directors, employees and agents from all claims, demands, injures, damages, actions, losses and expenses. Competitor Signature: *

Parent/Guardian Signature (if competitor is under 18yr of age):

OFFICE USE ONLY

Are you a:

Coach
Competitor

Name