Beginner's Powerlifting competition
Date: 28 July 2018
Venue: 530 Moreleta Street, Silverton, Pretoria
Weigh-in: 28 July at 08:00am
Time: Lifting starts at 10:00am
Cost: R250 per lifter
Close of entries: Friday, 20 july 2018
Host email: daniel.ross.hurlin@gmail.com

Bank details:
Name: D Hurlin
Nedbank Current Account
Acc: 1032329467
Branch: 169745
Reference: YOUR NAME

Name: *
Email: *
Cell: *
Age: *
Date Of Birth: *
MM
/
DD
/
YYYY
Current Body Weight: *
Gender *
Category: *
Class: *
Release Of Liability
In consideration of the acceptance of my entry form in this Powerlifting competition, I intend to be legally bound for not only myself, but also my heirs executors and administrators. By accepting this release from liability, I waiver and release all my rights or claims for damages I may have against the Rhino Powerlifting Club (RPC) or the sponsors/promoters of this competition.
Accept release: *
Payment:
PLEASE PAY INTO THE CORRECT ACCOUNT!
If you pay into the wrong account you will have to redo the payment into the correct account and will only be refunded your initial payment after the competition.

Of which 20% goes to RPC.
There is no affiliation required.

Bank details:
Name: D Hurlin
Nedbank
Current Account
Acc: 1032329467
Branch: 169745
Reference: YOUR NAME

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