GPA World
Powerlifting
Championships
Classic Center, Athens, Ga.30601 USA
October 8, 9, 10, 11,
2015
Name_____________________________________________________________________
Address___________________________________________________________________
City _______________________________________State__________Postal code________
Phone________________________________ Birth date_____________________________
Email______________________________________________________________________
Check all appropriate categories in each column below:
Raw "plus",with knee wraps or knee sleeves___
Raw, without knee wraps or knee sleeves____
__Powerlifting Meet ---Pushpull Meet |
___Open ___Junior 20-23 Teenage: ___Sub-master 35-39 |
Master: ___40-44 |
Weight Class: Women: |
|
Release From Liability. Read this carefully.
By signing this you will be giving up important rights. In consideration of my
acceptance of my entry form in this powerlifting competition, I understand that
I am legally bound for not only myself but also for my heirs, my executors, and
my administrators. In signing this release from liability I waive and release L
B Baker, Svetlana Baker, IronDawg Power, Inc., The American Powerlifitng
Committee, Inc., the Global Powerlifting Alliance, Inc.
The Classic Center of Athens, Ga., all Officials, Referees,
Spotter/Loaders and any other person or firm taking part in this competition
from any and all liability which may arise from this competition. I understand
all of the above for my acceptance of my entry in this competition. By signing
this entry form I affirm that all the information on this form is correct.
Signature________________________________________________________
APC card number______________________________For USA only.
Parent or guardian if under 18________________________________________
Powerlifting $100.00- Pushpull Meet $90.00 - Bench Press- $80.00 - Deadlift Meet
$80.00.
.
Entry deadline September 15, 2015, Late
entry $50.00
Send check payable to Irondawg Power and entry form to: Irondawg Power, P O Box
40, Bogart, Ga. 30622, Phone 770-713-3080
www.globalpowerliftingalliance.com email lbbaker@irondawg.com