2018 USAPL Southern Regional Championships
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Lifter Name (First Name Last Name) *
Age at time of Competition *
Date of Birth xx/xx/xx *
Competition Category (full meet only) *
Raw or Equipped *
Division *
Weight Class (kg) Female Classes are listed above SHW and Male classes below SHW *
Division *
Example (MR-O = male raw open); (F-M2 = female equipped masters 2)
Male or Female *
Team (if applicable)
City *
State *
Email Address *
Contact Number *
Sale ID # from Payment Receipt (5-digits) *
USAPL Number *
Is this your first powerlifting meet? *
Is this your first USAPL meet? *
Meet T-shirt Size - additional $20 (Free if staying at the meet hotel & attending early check-in) *
Hotel Confirmation # or name your room is booked under for free meet t-shirt (must pick up at early check in prior to your session)
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