Entry Form                                                                                                                    
Australian Powerlifting Union LTD                                                                                                                                                   Version 011219.1

Form Created By: Sectio (Tyo Muir)
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Email *
Details of Competition
Event Name: Central Coast Barbell Open

Event Date: 20 SEPTEMBER 2020

Venue: Central Coast Barbell
18 Nells Road West Gosford NSW 2250

Meet Director: Patrick Whymark (Email: whymark1@bigpond.com)

Closing Date for Entries: 23 August 2020

Planned Lifting Start: 09:00 AM
Details of Participant
Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
APU Membership Number *
Address *
Postal Address *
Telephone *
Email *
Weight Class *
Age Group *
Club *
Name of Coaches and APU No. *
Qualifying Total (Kg) -Not Required-
Competition where qualifying total was achieved -Not Required-
The event to be entered (Note: Fee includes APU Anti-doping levy of $15) *
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