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Entry Form_Waiting List
Australian Powerlifting Union LTD Version 0201.22
Form Created By: Sectio (Tyo Muir)
Please complete it by 17June 2023
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Email
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Your email
Details of Competition
Date & Time
15 July 2023 9:00 AM - 5:00 PM
Timezone
(UTC+10:00) Australia/Victoria
Registrations Close
17 June 2023 11:59 PM
Event Type
2023 State Qualifier (except Choice Event)
Event Location
MD Strength Powerlifting Performance Centre
59B Glenvale Cres, Mulgrave
Melbourne Victoria 3170
Contact Details
Lee-Ann Derrick
leeann@mdstrength.com.au
Details of Participant
Name
*
Your answer
Gender
*
Female
Male
Date of Birth
*
MM
/
DD
/
YYYY
APU Membership Number
*
Your answer
Address
*
Your answer
Postal Address
*
Your answer
Telephone
*
Your answer
Email
*
Your answer
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_69.0 kg Class from 63.01 kg up to 69.0 kg
F_76.0 kg Class from 69.01 kg up to 76.0 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
*
Your answer
Name of Coaches and APU No.
*
Your answer
Qualifying Total (Kg) -Not Required-
Your answer
Competition where qualifying total was achieved -Not Required-
Your answer
Sport Integrity Australia Level 1 Anti-Doping Course
https://elearning.sportintegrity.gov.au/
*
Complete
Incomplete
The event to be entered (Note: Fee includes APU Anti-doping levy of $15)
*
Classic 3-lift (A$96.25)
Classic Bench Press Only ($79.75)
Equipped 3-lift (A$96.25)
Equipped Bench Press Only (A$79.75)
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