Entry Form
Australian Powerlifting Union LTD Version 011219

Form Created By: Sectio (Tyo Muir)
Email address *
Details of Competition
Event Name: 2020 APU WA STATE CHAMPIONSHIPS

Event Date: 12 July 2020

Venue: The Rev Barbell Club
5/146 Balcatta Road Balcatta WA 6021

Meet Director: Jacob Sofianos (Email: wa.teamcoach@powerlifting-apu.com)

Closing Date for Entries: 28 June 2020

Planned Lifting Start: 09:00 AM
Details of Participant
Name *
Your answer
Gender *
Date of Birth *
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APU Membership Number *
Your answer
Address *
Your answer
Postal Address *
Your answer
Telephone *
Your answer
Email *
Your answer
Weight Class *
Age Group *
Club *
Your answer
Name of Coaches and APU No. *
Your answer
Qualifying Total (Kg) *
Your answer
Competition where qualifying total was achieved *
Your answer
The event to be entered *
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