Pump Off Individual Registration Pump Off Individual Registration $50 Entry Fee Name(Required) First Last Email(Required) Phone(Required)Alternate PhoneGender(Required)MaleFemaleTshirt size(Required)SmallMediumLargeXlargeXXlargeWhich gym do you train at?(Required)What would be your weight class on show day?(Required)Male - Lightweight (185 lb or under)Male - Middleweight (more than 185 lb up to 225 lb)Male - Heavyweight (more than 225 lb)Female - Lightweight (120 lb or under)Female - Middleweight (more than 120 lb up to 140 lb)Female - Heavyweight (more than 140 lb)This is to determine the weight you will use for the Arm Blaster Strict Curlindividual Pump Off entry(Required)Pump Off Adult EntryPump Off K-12 student EntryWaiver of Liability and Media Release:(Required) I understand the Waiver and Media Release In consideration of the acceptance of the entry, I waive for myself and my heirs and all claims for damages against Joe Wilson Productions (NWA Natural Championships), any of the beneficiaries of this event, the University of Arkansas, the Faulkner Performing Arts Center, the NANBF, sponsors of the Pump Off and their representatives, any Arkansas television or radio station, and officials and volunteers for injuries received during and as a result of this event. If I should suffer injury or illness, I authorize officials at the race to use their discretion to have me treated and be transported to a medical facility and I take full responsibility for this action. I certify that I am physically fit and sufficiently prepared myself for this event. Signature required for entry to be accepted. Parent’s signature is required if entrant is under 18 years old. MEDIA RELEASE: I hereby grant my permission to Joe Wilson Productions, the Facebook/Instagram page of the NWA Natural Championships, and any affiliates of the NWA Natural Championships for the free use of my name, photograph and video, in any media, print, broadcast, telecast, internet, web, or video account from the NWANC event. Total Payment Method(Required)PayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name