2019 BDFPA North East Division Qualifier
This is the online entry form for the 2nd February 2019 BDFPA NE Division qualifier. This is a Single Lifts & Full Power competition where you can lift Equipped or Unequipped. You can use this competition as a last minute qualifier for the British Single Lift Championships on 16th/17th Feb 2019 OR you can use this to qualify for British Full Power in July 2019.

ENTRY DEADLINE: is 19th January 2019

VENUE: The Performance Fitness Center, Sunderland, SR2 9TW

WEIGH IN TIME: 0830HRS-1000HRS

START TIME: 1030HRS

PAYMENT: £25 FULL POWER / £15 SINGLE LIFT (£5 PER ADDITIONAL LIFT)

BANK DETAILS (Please put your name as a reference)

COLIN KELLY
SORT CODE: 30-93-55
ACCOUNT: 60748368

CONTACT DETAILS: Ckellyrm@gmail.com or +447817262250 (please use email first as i work away from the UK)

Email address *
Phone Number *
Your answer
Full Name *
Your answer
Age (On Competition Date *
Your answer
Date of Birth *
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Gender *
Weight Class (Please enter the weight class you intend to compete in) Refer to the Rulebook for a list of weight classes. *
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Your answer
Full Power Equipped or Full Power Unequipped *
Single Lift(s) (Squat/Bench/Deadlift) *
Your answer
Please provide your BDFPA Membership Number *BDFPA membership is required to lift at this event. If you do not have membership, you must obtain one at least TWO WEEKS prior to the competition. This can be done here: http://www.bdfpa.co.uk/ (under 'membership) You can only break British records if you have been a member for more than 3 months *
Your answer
Is this your first competition? *
By submitting this form I agree that: All risks are taken by myself, the BDFPA/ BDFPA NE division cannot be held liable for any accidents or injury, and I agree to sign a waiver at the weigh in as well as a waiver to agree that this is a DRUG TESTED event and i may be chosen to provide a sample. I confirm that I have read the rulebook and I agree to abide by the BDFPA rules and conduct myself with good sportsmanship. *
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A copy of your responses will be emailed to the address you provided.
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