Tri-Nations Powerlifting Competition
Date: 1 December 2018 (possibly 1st and 2nd December)
Venue: 530 Moreleta Street, Silverton, Pretoria
Weigh-in: 30 November at 08:00am (venue TBC)
Time: Lifting starts at 08:00am
Cost: R500 per lifter (payment secures spot)
Close of entries: Friday, Friday 16 November 2018
Late Entry: Late entries will be R800 per lifter
Host email: daniel.ross.hurlin@gmail.com

Competition: This is an official qualifier for RPC Nationals 2019, all records broken will be official RPC National Records. Please note that the results combined with Australia and New Zealand will be from the Push/Pull category only. You can compete in all three lifts or single lifts, all Push/Pull results will go through to combined score sheet regardless.

Nedbank
D R Hurlin
Acc: 1032329467
Branch: 14974500

Name and Surname *
Email *
Cell
Age *
Date of birth *
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Weight division *
Gender
Category *
Class
Category
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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