GPA World Powerlifting Championships
Classic Center,  Athens, Ga.30601 USA
October 8, 9, 10, 11,
2015

Name_____________________________________________________________________

Address___________________________________________________________________

City _______________________________________State__________Postal code________

Phone________________________________ Birth date_____________________________

Email______________________________________________________________________

Check all appropriate categories in each column below:

Raw "plus",with knee wraps or knee sleeves___                  Raw, without knee wraps or knee sleeves____

__Powerlifting Meet

__Bench Meet

__Deadlift Meet

---Pushpull Meet

___Open

___Junior 20-23

Teenage:
___13-15
___16-17
___18-19

___Sub-master 35-39

Master:

___40-44
___45-49
___50-54
___55-59
___60-64
___65-69
___70-74
___75-79
___80-84
___85-89

Weight Class: Women:

__44Kg
__48Kg
__52Kg
__56Kg
__60Kg
__67.5Kg
__75Kg
__82.5Kg
__90Kg
__90Kg

__100kg
__100+kg

 


Men:
___52Kg
___56Kg
___60Kg
___67.5Kg
___75Kg
___82.5Kg
___90Kg
___100Kg
___110Kg
___125Kg
___140Kg
___140+Kg

Release From Liability. Read this carefully.
By signing this you will be giving up important rights. In consideration of my acceptance of my entry form in this powerlifting competition, I understand that I am legally bound for not only myself but also for my heirs, my executors, and my administrators. In signing this release from liability I waive and release L B Baker, Svetlana Baker, IronDawg Power, Inc.,  The American Powerlifitng Committee, Inc., the Global Powerlifting Alliance, Inc.  The Classic Center of Athens, Ga., all Officials, Referees, Spotter/Loaders and any other person or firm taking part in this competition from any and all liability which may arise from this competition. I understand all of the above for my acceptance of my entry in this competition. By signing this entry form I affirm that all the information on this form is correct.

Signature________________________________________________________ 

APC card number______________________________For USA only.

Parent or guardian if under 18________________________________________
 
Powerlifting $100.00- Pushpull Meet $90.00 - Bench Press- $80.00 - Deadlift Meet $80.00. 
.
Entry deadline September 15, 2015,  Late entry $50.00


Send check payable to Irondawg Power and entry form to: Irondawg Power, P O Box 40, Bogart, Ga. 30622, Phone  770-713-3080  www.globalpowerliftingalliance.com  email lbbaker@irondawg.com

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