ONLINE PAYPAL MEET ENTRY PAYMENT
To Mail Entries, Please complete form and submit. Print the Next Page and Mail Payment.

July 27,2024

2024 PA State Championships & Gene Rychlak, Jr. Bench Press Classic

Presented By RPS - Wyndham Garden York, PA (formerly Holiday Inn)

2000 Loucks Road, York, PA 17404

Meet Information
Please review the event page for information.

Weigh-in schedule will be posted the week of the competition.
There will be weigh ins offered the day before and morning of the event.

Prices include the PayPal processing fee. Mailed entries are still accepted and are not charged the processing fee.
Submitting entry is agreeing to the terms of the liability waiver. No refunds are guaranteed at any time.

$120 Entry - $35 Crossover - $10 Spectators

1 Division - $126

2 Divisions - $162.75 • 3 Divisions - $199.50 • 4 Divisions - $236.25
An Extra Division is the same as a Crossover

Entry Fees Phone

Competitor's Name (please no " or ' when filling form - Paypal does not like them)

Street Address

City, State, Zip

E-mail Address

Age Birthdate

You are Registering for

Events (*adding additional events is the same as additional divisions)

Event 1	Event 2*
Event 3*	Event 4*

Weight Class Sex

Divisions: Multi-Ply, Single-Ply, Raw Classic (no knee wraps), Raw Modern (w/ knee wraps), Unlimited
Division 1 Division 2
Division 3 Division 4

Class: Amateur, Professional, Elite*, Police Pro, Police Am, Military Pro, Military Am
(*Elite $100 Mandatory Test Fee to be paid prior to start of meet)
Class 1 Class 2
Class 3 Class 4

Age Divisions: Open, Teen, Junior (20-23), Submaster (33-39), Master
Age Division 1 Age Division 2

T-shirt Size
t-shirts are not guaranteed, lifter and/or sponsorship participation will determine availability. t-shirts will only be provided to lifters who enter by the entry deadlines.

ONLINE PAYPAL MEET ENTRY PAYMENT To Mail Entries, Please complete form and submit. Print the Next Page and Mail Payment.