Entry Form_Waiting List                                                                                                                    
Australian Powerlifting Union LTD                                                                                                                                                   Version 0201.22

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                                                             Please complete it by 8July2023
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Email *
Details of Competition
Date & Time
5 August 2023 12:00 PM - 5:00 PM
Timezone
(UTC+10:00) Australia/Canberra


Registrations Close
8 July 2023 11:59 PM

Event Type
2023 State Qualifier

Event Location
The Strength Syndicate, 10 Weetangera Pl, Weetangera
Canberra Australian Capital Territory 2614

Contact Details
Sarah Moore
apu.act@gmail.com 
Details of Participant
Name *
Gender *
Date of Birth *
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/
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-
Sport Integrity Australia Level 1 Anti-Doping Course https://elearning.sportintegrity.gov.au/   *
The event to be entered (Note: Fee includes APU Anti-doping levy of $15) *
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