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2019 USA Powerlifting Indiana State Championship (FULL)
IMPORTANT: THIS MEET WILL BE CAPPED AT 50 LIFTERS ONLY!!!! (AS OF 1-5-19 THE MEET IS NOW FULL) If you would like to be waitlisted please continue to complete this form. Here is an alternate meet in Indiana you may also consider. March 9th in Richmond
https://www.osupowerliftingclub.com/family-fitness-works-summerbash

SANCTION # IN-2019-02
DATE: February 23, 2019
LOCATION: Iron Pit Gym
ADDRESS: 5006 S. Rogers St. Bloomington, IN 47403
Spectators and coaches are FREE!

This event is ONLY open to Indiana residents.

Submission Deadline
The deadline to submit the meet entry form will be Saturday, February 2nd, 2019 or 50 lifters, whichever comes first. NO LATE ENTRIES WILL BE ACCEPTED.

A Final schedule will be posted no later than 2 weeks prior to the meet.
Tentative schedule is as follows:

SESSION 1 (Women: maybe lt wt males) : Doors open at 7:30 with equipment check Weigh-ins will begin at 8:00 and lifting at 10:00.
SESSION 2 (Men) : Equipment check at 1:00: Weigh-ins will begin at 1:30 and lifting at 3:00

AWARDS
-Top 3 for each weight class in each division
-BEST OVERALL Female & Male lifters by Wilks formula (no age correction)-RAW ONLY

Lifter's Full Name *
Your answer
Your Mailing Address *
Your answer
Email *
Your answer
Phone Number *
Your answer
Male or Female *
Category *
Date of Birth *
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USAPL Registration #: All lifters competing in the Championship must be a member of USA Powerlifting. All memberships expire Dec 31 of year purchased (Memberships purchased Nov/Dec expire the following year-end.) If you do not have a current USA Powerlifting Membership, it must be renewed/purchased prior to the meet. www.usapowerlifting.com/membership-application/ Please provide your USAPL Membership # *
Your answer
Drug Testing: You must be drug-free for at least 36 months prior to the date of this meet to be eligible to compete. At least 10% of all lifters will be tested by urinalysis. Banned substances include but are not limited to anabolic steroids and growth hormones. The complete list of banned substances is available on the website of the World Anti-Doping Agency (see www.WADA-ama.org). Youth who turn 14 in the 2019 calendar year are subject to drug testing.
Division(s): $85; (Paid via Paypal/Venmo/Stripe or Chase QuickPay) YOU MUST PAY ELECTRONICALLY!!
Division (SELECT ONLY ONE OPTION) *
Required
Weight Class *
T-shirt pre-order $20 (limited quantities will be available at the meet for $25-CASH ONLY) See logo design at the bottom of the page.
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