Entry Form

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Entry Form

Australian Powerlifting Union LTD Version 011219.1

Form Created By: Sectio (Tyo Muir)

Email *

Details of Competition

Event Name: Intrepidus Open*

Event Date: 17 May 2020

Venue: Intrepidus Strength & Conditioning
2/36 Comserv LoopEllenbrook WA 6069

Meet Director: Kellie Socratous (Email: Kellie@intrepidusperth.com.au)

Closing Date for Entries: 1 May 2020

Planned Lifting Start: 09:00 AM

*Limited for 25 Entries only

Details of Participant

Name *

Gender *

Female

Male

Date of Birth *

YYYY

APU Membership Number *

Address *

Postal Address *

Telephone *

Email *

Weight Class *

M_Sub JR & JR only up to 53.0 Kg

M_59.0 kg Class up to 59.0 kg

M_66.0 kg Class from 59.01 kg up to 66.0 kg

M_74.0 kg Class from 66.01 kg up to 74.0 kg

M_83.0 kg Class from 74.01 kg up to 83.0 kg

M_93.0 kg Class from 83.01 kg up to 93.0 kg

M_105.0 kg Class from 93.01 kg up to 105.0 kg

M_120.0 kg Class from 105.01 kg up to 120.0 kg

M_120.0+ kg Class from 120.01 kg up to unlimited

F_Sub-Junior & Junior only-up to 43.0 kg

F_47.0 kg Class, up to 47.0 kg

F_52.0 kg Class, from 47.01 kg up to 52.0 kg

F_57.0 kg Class, from 52.01 kg up to 57.0 kg

F_63.0 kg Class, from 57.01 kg up to 63.0 kg

F_72.0 kg Class, from 63.01 kg up to 72.0 kg

F_84.0 kg Class, from 72.01 kg up to 84.0 kg

F_84.0+ kg Class, from 84.01 kg up to unlimited

Age Group *

Open (from the day lifter reaches 14 years and upwards (no category restrictions need apply))

Sub-Junior (from the day lifter reaches 14 years and throughout the full calendar year in which lifter reaches 18 years)

Junior (from 1 January in the calendar year he reaches 19 years and throughout the full calendar year in which lifter reaches 23 years)

Master I (from 1 January in the calendar year he reaches 40 years and throughout the full calendar year in which lifter reaches 49 years)

Master II (from 1 January in the calendar year he reaches 50 years and throughout the full calendar year in which lifter reaches 59 years)

Master III (from 1 January in the calendar year he reaches 60 years and throughout the full calendar year in which lifter reaches 69 years)

Master IV (from 1 January in the calendar year lifter reaches 70 years and upwards)

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) *

Raw 3-lift (A$80)

Raw Bench Press Only (A$55)

Equipped 3-lift (A$80)

Equipped Bench Press Only (A$55)

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