USA Powerlifting Lake Pleasant Classic 2018

USA Powerlifting Lake Pleasant Classic 2018
USA Powerlifting Sanction AZ-2018-01 , February 10th 2018
Directed by:
WADE Strength Systems
Hosted by:
Rush Sports Performance
425 E. Pinnacle Peak Road
Phoenix, Arizona 85024
Google Map
Meet Directors: Rodney & Miryam Elm
wadestrengthsystems@gmail.com
623.326.2933
Athlete Information
As it appears on your USA Powerlifting membership card
Name*
First NameLast Name
Address*
Street Address
Street Address Line 2
CityState
Zip Code
Phone Number*
Area CodePhone Number
E-mail*
An email address that we can contact you in case of any unforeseen changes.
Date of Birth*
MonthDayYear
Date
Male or Female*
MaleFemale
Membership Information
USAPL Number*
State registered*
Expiration Date*
MonthDayYear
Must be a current member of USA Powerlifting to register for this competition, with an expiration date of Dec. and the current year.
All lifters competing in a USA Powerlifting competition must be a member of USA Powerlifting. If you are not currently a member or need to renew your membership go to the link below and select your appropriate option.
USAPL Membership
To look up your membership number click the link below:
Find Your Membership
Parent/Guardian Information
If under the age of 18
Parent/Guardian
First NameLast Name
Address
Street Address
Street Address Line 2
CityState
Zip Code
Phone Number
Area CodePhone Number
E-mail
Emergency Contact Information
Emergency Contact*
First NameLast Name
Phone Number*
Area CodePhone Number
E-mail
Age Divisions
First division is $85.00 Each additional division is $15.00
First Divisions*
Second Division
*There are no refunds for any reason. Upon receipt of your registration fee, your transaction is deemed final.*
Body-Weight Divisions
Female*
Weight Class
Male *
Weight Class
Competition Types
RAW or Equipped *
Event Type*
Pre-Order T-Shirts
X-Small to X-Large*
$15 for X-Small to X-Large
XXL and Up*
$20 for XXL & up
Release of Claims and Liability*
I agree that I have read and fully understand all of the terms in the Release of Claims and Liability, linked below.
You can find the Release of Claims and Liability here.
*There are no refunds for any reason. Upon receipt of your registration fee, your transaction is deemed final.*
Subtotal:
Including Shirt:
Registration Total:*
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USDLake Pleasant Classic 2018
Awards will be presented for each weight class and division.
Should be Empty:

USA Powerlifting Lake Pleasant Classic 2018

Parent/Guardian Information

Emergency Contact Information

Pre-Order T-Shirts