Summer Classic Entry

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2014 Seattle Summer Classic - Entry Form

Sponsored by Seattle Strength & Power
June 14, 2014
Local's Gym
2031 196th St SW
Lynnwood, WA

Entry date has PASSED. If you enter now, you will be put on a waiting list. I do not expect to allow any additional lifters in to the meet! If you have questions, please contact me.

Jill Arnow, Meet Director
206.459.8594
jillar@gmail.com

First Name

Last Name

Address

City/State

Zip Code

Phone Number

Date of Birth

USAPL Number

If you don't have a USAPL Card yet, put 99999 in the box and message me when you get one.

Expiration Date

Male Female

Equipped Raw/Unequipped

Powerlifting, Bench, or Deadlift

Powerlifting (sq, bp, dl) Bench Only Deadlift Only Bench + Dead

Note: Only enter extra divisions if you want to compete in those divisions; the divisions you enter do not impact state or American record eligibility.

Age Division

Note: extra divisions affect placing at competition, not records. however, please indicate in comment section if you qualify for records in an additional category.

Additional Age Division

Only choose this if you want to compete in two age divisions, for example, Open AND Junior. Don't select the same age division twice.

Weight Class

Age

Age on the date of the meet.

Meet T-Shirt

Team Name

All teams must be registered USAPL Teams. Team Fee must be paid in advance. Team Roster must be presented prior to beginning of lifting. You don't need to be on a team to compete.

Team Fee

Pay for Team Registration

Emergency Contact Information

Name

Relation to Lifter

Address

City/State/Zip

Phone

I agree to have a valid USAPL membership and sign a release from liability and lifter certification before competing.

Yes

Comments/Questions