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2010
Irontoberfest Powerlifting Meet Entry Form All
Entry Forms and Entry Fees must be Mailed to: Malcolm
Smith, 626 N ST HWY 103, APT A-7, Slocomb, Al 36375 All
CHECKS, PAYABLE to Malcolm Smith 334-797-2546
or E-mail: mkssixpax@aol.com This
form is for all events, just write in the name of the tournament you are
entering and
than check everything that pertains to you and the event. Be sure to know what
all events are offered at the Tournament before filling out this form and
only enter
only events that are offered at each tournament. Name
of Contest:
________________________________________________________Date:_______ Print
Full Name: _____________________________________ Age:_______ Date of
Birth:____________ Phone
No: _____________________________ Email:
___________________________________________ Parent
or Gardian must sign for you to lift if you are under 18. Parent
or Guardian signature:____________________________________________________ Select
the Events pertaining to the Contest you are entering: (In
the Single Ply Full Powerlifting Only Single Ply Squat Suit, Deadlift Suit
and Briefs are allowed) NOTICE:
ONLY SELECT THE ONES THAT PERTAIN TO THE EVENTS YOU ARE ENTERING. Multi
Ply- Full Powerlifting:____ Raw Full
Powerlifting____ Single Ply Powerlifting ____ Multi-Ply- Push
/ Pull
____
Raw Push / Pull____ Single Ply Push/Pull
______ Multi-Ply- Bench
Press ____
Raw Bench Press ____ Single Ply Bench Only _____ You
can enter more than one event if you would like, just check the events you
want to enter And
send the appropriate fees according to the contest you are entering.
What
Divisions are you entering? Wt.
Class:
97___114___123___132___148___165___181___198___220___242___275___308___Super
Heavy___ Entry
Fees: Send the amount as advertised for each event. If you are not a member
of the APA or if you need to renew your
Membership,
send extra $30.00 with this application. Membership card must be up to date
of the meet. |
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