2019 ENTRY FORM FOR USA Powerlifting Happy New Year Powerlifting Meet 1/26/2019 Sanctioned by USA Powerlifting: WI-2019-07
Please be accurate and clear on filling out this form.
Email address *
Name *
Your answer
Male/Female *
Birth Date: Month/Day/Year *
Your answer
Division *
Weight Classes: WOMEN:43 kg* 47 kg, 52 kg, 57 kg, 63 kg, 72 kg, 84 kg, 84 kg+ *Teen/Junior Only MEN: 53 kg 59 kg, 66 kg, 74 kg, 83 kg, 93 kg, 105 kg, 120 kg, 120 kg+ -----Youth Girls: 30k (66lb), 35K (77lb), 40k (88lb), and then the already set weight classes. Youth Boys: 30k (66lb), 35k (77lb), 40k (88lb), 44k (97lb), 48k (105lb) and then the set classes(ALL WEIGHTS MUST BE PUT IN KILOS) *
Your answer
Contact Info: Phone Number and Email *
Your answer
USAPL Card Number and Expiration Date *Indicate "Applied For" if you have not acquired one yet. *
Your answer
Emergency Contact Number *
Your answer
Never submit passwords through Google Forms.
This form was created inside of Necedah Area School District. Report Abuse - Terms of Service