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: Wings ‘n’ Weights

Event Date: 9 May 2020

Venue: Strength Nation
3/70 Mulgoa Rd, Penrith, NSW 2750

Meet Director: Katie Jurinic (Email: jurinickatiex@gmail.com)

Closing Date for Entries: 25 April 2020

Planned Lifting Start: 09:00 AM
Details of Participant
Name *
Gender *
Date of Birth *
MM
/
DD
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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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