Powerlifting America - Power in the Pines 2024
Sign in to Google to save your progress. Learn more
Email *
Athlete Information 
Athlete First & Last Name  *
Your full name exactly as you registered with Powerlifting America. 
First and Last name with proper capitalization such as, John Doe.
Athlete Email *
Athlete Phone Number *
Please enter your phone number in the following format, 234-234-2345.
Athlete Birth Date *
MM
/
DD
/
YYYY
Powerlifting America Membership Number *
All lifters must be a member of Powerlifting American. 
Become a member or Renew your membership here.
State *
Please select the state your membership is in.
Powerlifting Team Name
If you are part of a team registered with Powerlifting America (PA) you can enter it here. When team awards are offered, to be eligible to compete for placement your team must be registered with PA. 
Male or Female *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of WADE Strength Systems. Report Abuse
Google Forms