ONLINE PAYPAL MEET ENTRY PAYMENT

October 28, 2017

2017 Revenant Rising

The Hybrid Athlete Mission - 2020 Capital Dr - Wilmington, North Carolina

Meet Information

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.

$100 per Entry • $35 per Crossover - US Dollars

1 Division (including above fees) - $103.50
2 Divisions - $140.5 • 3 Divisions - $176.00 • 4 Divisions - $211.00
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 Moden (w/ knee wraps)
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 availablilty. t-shirts will only be provided to lifters who enter by the entry deadlines.