APA All RAW Northern Region Championships
IF REGISTERING ONLINE PLEASE MAKE ONLINE PAYMENT AT LINK PROVIDED ON THE ENTRY FORMS PAGE. SUBMITTING THIS FORM WILL NOT BE CONSIDERED A REGISTRATION UNLESS YOU PAY FOR THE COMPETITION. ALL ENTRY FORMS SUBMITTED WITHOUT PAYMENT WILL BE DISPOSED OF.
THIS IS A RAW COMPETITION. RAW = No bench shirt and no supportive suit. Wrestling singlet, belt and wraps are allowed if you wish to wear them. Lifters may wear spandex bike tights as a substitute for wrestling singlet ONLY for the bench press. Singlets are required for squat and deadlift.
DATE/PLACE: April 10, 2010 at Monroe Lifting Club, 12 West Front Street (back alley in the basement of the Fox Club), Monroe, Michigan(734)-790-5148
Information: Tom Pearch tom_monroeliftingclub@yahoo.com (734)-790-5148 or Scott Taylor – APA President scott@apa-wpa.com (941) 626-4247
Weigh-ins: Friday 6:00PM until 7:00PM or Saturday 8:00AM until 10:00AM (Lifting starts at 11:00AM)
Sanctioned by the American Powerlifting Association (APA). You must be a member to be eligible. You may purchase membership n card at the meet($30 adult - $15 High School Student). Online rulebook and equipment regulations can be found on the APA n website http://www.apa-wpa.com
Entry Deadline is April 1, 2010. Entries after this date and walk-in registrations will be allowed but must include a $20 late fee! Walk-in registrations the day of the meet must make payment in cash! Checks not accepted the day of the meet!
CONTESTS OFFERED: ENTRY FEES ARE NOT REFUNDABLE. CHECK THE CONTESTS AND NUMBER OF DIVISIONS YOU ARE ENTERING
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Powerlifting Meet 1 Division $60
Powerlifting Meet 2 Divisions $95
Powerlifting Meet 3 Divisions $130
Push & Pull Meet 1 Divisions $60
Push & Pull Meet 2 Divisions $95
Push & Pull Meet 3 Divisions $130
Bench Press Only Meet 1 Division $60
Bench Press Only Meet 2 Divisions $95
Bench Press Only Meet 3 Divisions $130
Deadlift Only Meet 1 Division $60
Deadlift Only Meet 2 Divisions $95
Deadlift Only Meet 3 Divisions $130
CATEGORY SELECTION (Drug Testing by Aegis Laboratories)
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I will be competing in the Drug Tested Category
I do NOT wish to compete in the Drug Tested Category
DIVISION(S) ENTERING
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Open (Most Competitive - includes all ages)
Youth 8-10
Youth 10 -11
Youth 11-12
Teenage 13-15
Teenage 16-17
Teenage 18-19
Junior(20-23)
Sub-masters(33-39)
Masters(40-49)
Masters(50-59)
Masters(60-69)
Masters(70-79)
Master 80+
Weight Class you plan on entering:
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Male 114
Male 123
Male 132
Male 148
Male 165
Male 181
Male 198
Male 220
Male 242
Male 275
Male 308
Male 341
Male Superheavy
Female 97
Female 105
Female 114
Female 123
Female 132
Female 148
Female 165
Female 181
Female 198
Female 220
Female Unlimited
Youth Ages 8-12 86 lb.
Youth Ages 8-12 97 lb.
Youth Ages 8-12 105 lb.
FIRST NAME
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LAST NAME
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MAILING ADDRES
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CITY
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STATE
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ZIP CODE
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PHONE NUMBER
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