Third Annual Powerlifting Meet Registration Form

Sunday, May 31st, 2020

In order to participate in our Third Annual Powerlifting Meet, you must submit a registration fee of $20 via venmo (@chardikalasc), 100% of which will go towards event expenses such as equipment and materials.

Name

First Name

Last Name

Date of Birth

YYYY

Age

Weight

Please enter your weight in pounds in the field below.

Gender

Male

Female

Other

Email Address

Phone Number

(###)

###

####

Weight Class

If you will be competing in the women's competition, please select Open in the list below.