Event registration
High School Powerlifting Entry Form

Entry Fee: $50 **LIMITED TO 50 ENTRIES**
Weigh-Ins: 8:00AM
Rules Briefing: 9:00AM
Lifting Starts 10:00AM

Contact info: Glenelkiron@outlook.com
Text Rick Perkins: 304-669-4180


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First Name *
Last Name *
Email *
Street Address *
City *
State *
Zip Code *
Primary Phone Number *
Parent or Guardian Signature (If under 18) *
Division *
Required
Please check which event or events you wish to participate in *
Required
Men's Weight Classes
Women's Weight Classes *9th-12th one division only
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