2019 KEYSTONE IRONMAN CHALLENGE
Powerlifting - Push Pull - Single Lifts
SANCTION II

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


Saturday January 12, 2019


OFFICIAL ENTRY FORM

" * " indicates required fields

Lifter Information

Lifter Name*

Address*


Email*


Birthday*


Age*


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


Gender*

Male


Female



* Please enter me in the following event(s):
There are currently 27 spots remaining!





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

$15



MEDIUM

$15



LARGE

$15



XL

$15



2XL

$17



3XL

$19