Online Entry Form
Please fill in all fields below on the online entry form. Once you have
filled in all of the fields click the "submit" button below and your entry
will be submitted to the UPA home office. You will also need to make
your payment via Paypal after the form has been submitted. You will
need to have a Paypal account set up to do this.
Thank You for your interest in the UPA. We look forward to having you
at the event.
Name of meet you
are entering:
2008 Ironman Battle on the Mississippi
Your name:
Street Address:
City:
State:
Zip:
Email Address:
Home Phone:
Work Phone:
Sponsors:
Division Entered:
Men's Open
Women's Open
Master's Open
Teenage Open
Junior's (20-23)
Weight Class Entered:
97 (women only)
105
114 (women only)
123
132
148
165
181
198
220
242
275
308
SHW
Age group if entering
masters:
Not entering masters
33-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75 and over
If entering UPA-AD Check here:
Birthdate:
Age at time of meet:
UPA Card #:
Expiration Date:
I need to purchase a card:
Push/Pull $85.00
Bench Only $85.00
Deadlift Only $85.00
Push/Pull (High School) $55.00
Bench Only (High School) $55.00
Deadlift Only (High School) $85.00
Meet Entry Fee:
I am entering the raw division:
UPA Card Fee:
$30.00 ($15.00 for teen)
I already have a current UPA card
Add $10.00 if entering AD Division
Not Entering UPA-AD
UPA-AD Fee:
$30.00 (if submitted after 10/10/08)
Form Submitted before June 6, 2008
Late entry fee if
submitting form after
entry deadline:
$30.00
$60.00
$90.00
Additional Division
Fee:
Total Due:
*Please verify that all information above is correct before submitting
entry form. Once the form has been submitted you will need to proceed to
paypal.com to make your payment for your entry. Submitting your entry
without payment DOES NOT guarantee you a spot in the event you have
selected. Once payment has been received you will be notified*
**All Payments are final. There are no refunds.**
