Register for Our WILMINGTON, NC Event! Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Email* Type 1 Diabetic?* Yes No Lifting Experience* Beginner (1-3 years)Intermediate (3-6 years)Advanced (6+ years) Do you compete in Strongman?* Yes No Do you compete in Olympic Weightlifting?* Yes No Do you compete in Powerlifting?* Yes No Current or Estimated Squat 1RM in pounds:* Please enter a value between 0 and 8000. Current or Estimated Overhead Press 1RM in pounds:* Please enter a value between 0 and 8000. Current or Estimated Deadlift 1RM PR in pounds:* Please enter a value between 0 and 8000. How did you hear about us?* I attended a prior event Social Media Registration Options Saturday Only Registration* Price: $55.00 Quantity: Please enter the number of people you're registering for Saturday. Sunday Only Registration* Price: $55.00 Quantity: Please enter the number of people you're registering for Sunday. Full Weekend (Saturday & Sunday) Registration* Price: $80.00 Quantity: Please enter the number of people you're registering for the full weekend. Would You Like to Purchase Add-ons? (dinner, t-shirt, hoodie) Dinner Saturday B&B Hoodie B&B T-Shirt Dinner Saturday Price: $35.00 Quantity: T-Shirt (S) Price: $10.00 Quantity: T-Shirt (M) Price: $10.00 Quantity: T-Shirt (L) Price: $10.00 Quantity: T-Shirt (XL) Price: $10.00 Quantity: T-Shirt (XXL) Price: $10.00 Quantity: B&B Hoodie (L) Price: $35.00 Quantity: B&B Hoodie (XL) Price: $35.00 Quantity: Total $0.00
