Coach Registration
Select the choice that best describes you.*
I am a current USA Powerlifting member (2019 or after) I am NOT a USA Powerlifting member (2019 or after)
Membership Number*
Expiration Date*
Month Day Year
Date
*Please fill out this online waiver form for this competition. The National Office will send you a PDF that you can upload with the link below. Thank you for choosing USA Powerlifting, the cleanest platform in the country!*
Release of Claims and Liability
Upload your completed Release of Claims and Liability form here. Easiest if done on your computer. Thank you :)*
Browse Files
You can Drag and Drop file here as well. Cancelof
Coach Name*
First & Last name
Coach Phone #.*
Area Code Phone Number
Coach E-mail*

Confirmation Email
Athletes
Athlete #1*
First & Last Name
Athlete #2
First & Last Name
Athlete #3
First & Last Name
Athlete #4
First & Last Name
Are you a USA Powerlifting Referee*
Yes No
Are you interested in becoming a USA Powerlifting referee?
Yes No Maybe
Emergency Contact
Name*
First Name Last Name
Relationship
Phone Number*
Area Code Phone Number
I have completed and attached the Release of Claims and Liability form from above.*
YES
Comments
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Coach Registration

Athletes