Heavyweight Division Registration Form 2017

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Full legal name is required to award prizes
Required
Required
Required
 
Home mailing address is required to award prizes
Required
Required
Required
Required
 
Required
Required
Required
Required
 
T-shirt size (adult sizes)
Required
PLEASE NOTE: Prizes may not be awarded if name and address are incomplete.
Contestants in the Heavyweight Division may compete as a team. Any prize money won will be awarded to the individual above for distribution to team members. If you are competing as a team please list team members names below.
T-shirt size (adult sizes)
T-shirt size (adult sizes)
T-shirt size (adult sizes)