Name
*
First Name
Last Name
Gender
*
Male
Female
Age
*
Email
*
Phone
*
(###)
###
####
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Height
*
4'6
4'7
4'8
4'9
4'10
4'11
5'0
5'1
5'2
5'3
5'4
5'5
5'6
5'7
5'8
5'9
5'10
5'11
6'0
6'1
6'2
6'3
6'4
6'5
6'6
6'7
6'8
6'9
6'10
6'11
Bodyweight
What weight class are you competing in?
*
How did you find out about Iron Arena/Who were you referred by?
*
What is the date of the contest you are requesting meet day coaching for?
*
MM
DD
YYYY
Which organization/federation is hosting the event?
*
Distance traveled to the meet?
*
How many years have you been competing in powerlifting?
*
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
20+
Please list your meet PR's (along which the date they were achived and what your bodyweight was) in Squat, Bench Press, Deadlift
*
Please provide links to video footage of these lifts. (Instagram, Youtube, Facebook)
Please provide links to videos of your heaviest training lifts in each discipline leading up to this meet
*
(this should include not only your PR's but any notable doubles or triples you've hit)
What was your bodyweight when you hit those heaviest training lifts and what do you weight now?
*
What are your expectations or goals for this contest?
*
e.g. Hit PRs, qualify for something, break records, win...
Will you be cutting weight for this meet?
*
Are you an internally (more quiet) or externally (louder, more psyched-up) motivated lifter? In other words, what’s your arousal level like when approaching a heavier lift?
*
Please read the waiver below
*
In consideration of being allowed to participate in the activities and programs offered by Iron Arena LLC., and to use its programs and training, in addition to the payment of any fee or charge, I do hereby waive, release and forever discharge and hold harmless Iron Arena LLC. from any and all responsibility, liability, cost and expenses, including injuries or damages, resulting from my participation in any activities, or my use of any programs designed by Iron Arena LLC. I do also hereby release Iron Arena LLC. from any responsibility or liability for any injury or damage to myself, or in any way arising out of or connected with my participation in any activities with Iron Arena Powerlifting & Performance or the use of any equipment of Iron Arena Powerlifting & Performance.
