Meet Entry Form - 2017 KEYSTONE IRONMAN CHALLENGE

2017 KEYSTONE IRONMAN CHALLENGE
Powerlifting - Push Pull - Single Lifts
SANCTION II

Twin City Barbell Club
181 S Whitfield St.
Nazareth, Pa 18064

Saturday November 18, 2017

Meet Info (Word) | Meet Info (PDF) | VIEW ROSTER

This meet is no longer accepting new entries

" * " indicates required fields

Lifter Information

Lifter Name*

First

Last

Address*

Street

City

State

Zip

Email*

Ex: yourname@gmail.com

Birthday*

00/00/0000

Age*

100% RAW MembershipWill be required meet day before you may lift
Need to join? CLICK HERE!

100% RAW Membership #

Expiration Date

Gender*

Male

Female

* Please enter me in the following event(s):

There are currently 41 spots remaining!

Powerlifting
Squat
Bench
Deadlift
Push Pull

Weight Class (lbs.)*

Division*

NOTE: Additional $20 for Open / Age Division Combinations

Pre-order and pay for Meet T-Shirts

Choose the Quantity of the size(s) you want

SMALL

Quantity $15

MEDIUM

Quantity $15

LARGE

Quantity $15

2XL

Quantity $17

3XL

Quantity $19

Lifter Name*

Address*

Email*

Birthday*

Age*

100% RAW MembershipWill be required meet day before you may liftNeed to join? CLICK HERE!

Gender*

Weight Class (lbs.)*

Division*

Pre-order and pay for Meet T-Shirts

100% RAW MembershipWill be required meet day before you may lift
Need to join? CLICK HERE!