Phone number

First and Last name or name you preferred to be called *

What is your weight class? *

What is your age division? (Ex open, M1, M2) *

Is this your first Nationals? if not how many? *

Do you have a training coach and if so may we contact them and if so what is their contact? *

Please describe your history in competing for powerlifting or relative information that we show know about you. *

Are you cutting weight and if so do you have much to cut and will it be difficult? *

what are your goals for this meet? *

Do you have any injuries we need to be aware of? *

How do you like to be coached? What do you need? *

Are you taking any medications and if so have you checked them on the WADA site? *

What are you most excited about for this years Nationals? *