Amateur Heavy Athletics Training and Competition Registration

Competitor Name*

First Last

Your Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone Number*

Your Email Address*

Are You 18 Years of Age or Over?*

Please select an age to view your competition choices.

Yes

Your Date of Birth*

Required if you are under 18

Your Age*

Required if you are under 18

Heavy Athletic Events*

Select event that you wish to participate in

Amateur Men’s (ages 18 - 40) - $70
Amateur Women’s (ages 18 - 40) - $70
Masters Men’s (Amateur over forty 40) - $70
Masters Women’s (Amateur over forty 40) - $70

Heavy Athletics Fee

Price:

Heavy Athletic T-Shirt*

Select T-shirt Size

Waiver and Release*

By checking this box I (Competitor, parent/legal guardian) hereby, for myself, my heirs, representative(s) of my estate, waive and release any and all rights and claims I may have for damages against NHSCOT or the Oscar Barn Venue, their agents or representatives, the owner of the property on which these Games are held, for any injuries and/or inconveniences which may be suffered by me during the 2023 Amateur Heavy Athletics Competition.

I agree

Billing Address*

Same as above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

$0.00

Cardholder Name as it appears on Your Credit Card*

Credit Card

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name as it appears on Your Credit Card (for verification)

Name

This field is for validation purposes and should be left unchanged.

AMATEUR HEAVY ATHLETICS TRAINING AND COMPETITION REGISTRATION