Irondawg International Cup
February 24, 2018
Titanz Fitness of Northeast Georgia
280 Banks Crossing Drive
Commerce, Ga. 30529
Name____________________________________________________________
Address__________________________________________________________
City _______________________State__________Zip______________________
Phone________________________________ Birth date____________________
Email____________________________________________________________
Check all appropriate categories in each column below:
GPA Raw___
IPO Equipped____
__Powerlifting Meet
---Deadlift Meet |
___Open
Teenage:
___Junior 20-23
___Sub-master 35-39 |
Master:
____40-44 |
Weight Class: Women: |
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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 form liability I waive and release L B Baker,
Svetlana Baker, Irondawg Power, Inc., Titanz Fitness of Northeast Georgia, all
Officials, Referees, Spotter/Loaders and any other persons or firms taking part
in this competition from any liability which may arise from this competition.
I understand all 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_______________
Parent or guardian if under 18________________________________________
Pushpull Competition $90.00-Bench Competition $80.00- Deadlift Competition
$80.00.
Pushpull Competition and Bench Competition $150.00.
Pushpull Competition and Deadlift Competition $150.00.
All 3 Competitions $210.00
Team entry $50.00 per team
Weigh-in Friday February 23, 2018 10:00 AM - 12:00 N
4:00 PM - 7:00 PM at Titanz Fitness of Northeast Georgia
Make Checks payable to Irondawg Power.
Mail to: P O Box 40, Bogart,
Ga. 30622