Strengthalon Solo Registration

Competitor Information

Gender:

MaleFemale

Date of Birth (required):

Phone (required)

Email Address (required)

Background & Education:

High SchoolTech/Trade SchoolCollege/Univ.Grad School
_{Note: This information is to build our demographic information for our sponsors. Your input provides us with more goodies to provide to you.}

T-shirt Size:

XSSMLXLXXL

Select Your Weight Division:

Mighty MouseReyCat WomanLara CroftWonder WomanXenaAmazonScrappySpideyBondTarzanTerminatorHerculesHulk

Exact Weight (required):

Exact Age (required):

_{*The Age you will be on 12/31/2019 is the age you compete at. *}

Age Groups:

OpenJedi MasterAthletic GuruMastersGrand MastersMethuselah

Promo/Ambassador Code:

MP1LRJJPMBLDNMTT

PED Test Fee $
_{Note: The Drug Test is only performed on the Top 3 finishers}

Terms & Conditions

In consideration of the acceptance of my entrance into this event, I hereby and furthermore assume any and all risks arising out of this event and release and hold harmless all sponsors, officials, volunteers, management staff, administrators and all other persons associated with Ultimate Fitness Athlete/ Fitness & Lifestyles from any liability, claims, or causes of action of every kind and nature arising out of or relating to my participation in this event being held. I also give my permission for the free use of my name, picture, and image in any broadcast, telecast or written account for this event. I understand that no refunds will be given under any circumstances. I further certify that I am physically fit and capable to participate in this event.

Waiver to initial (required):
_{Put mouse cursor (or finger) inside box and drag to add an handwritten signature.}

Payment Info

Entry Fee for Strengthalon Solo Competition $
Photography Package

Video Package

Total = $

Credit/Debit Card (required):

Expire Date (MMYY) (required):

Name On Card (required):

Billing Address (required):

Competitor Information

Gender:
Date of Birth (required):
Phone (required):
Email Address (required):
Background & Education:

T-shirt Size:

Select Your Weight Division:

Exact Weight:
Exact Age:
Competition Division:

Promo/Ambassador Code:

Payment Info

Entry Fee for Fitathlon Solo Competition $
Photography Package:
Video Package

PED Test Fee $
_{Note: The Drug Test is only performed on the Top 3 finishers}

Total = $

Credit/Debit Card:
Expire Date:
Name On Card:
Billing Address: