Name *
Name
Address *
Address
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Phone *
Phone
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Date of Birth *
Date of Birth
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Gender *
Style of Lifting *
Contest Entering *
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Age Division *
Please mark all you will be entering
If you will be entering multiple divisions, please explain which divisions you wish to enter and what events.
Weight Class *
Please check the weight class you are competing
Release of liability statment *
Release of Liability. Read Carefully. By accepting the following terms you will be giving up important rights. In consideration of acceptance of my entry form in the powerlifting/benchpress competition, I understand that I am legally bound for not only my own actions, but also for my heirs, my executors, and my administrators. In agreeing to this release from liability, I waive and release Stephen Parkhurst, Jodi Parkhurst, WUAP-USA Inc., the WUAP International Inc., the Contest Venue Location and staff, all officials, referees, spotters/loaders, and any other person or firm taking part in the competition from any and all liability which may arise from your participation in above stated the competition. I understand all of the above statements for my acceptance of my entry in this competition. By agreeing to this statement, I affirm that all information of this form is correct. I understand I may be required to sign a release of liability form during my weigh-in session.
Online Payment agreement *
I understand that I must submit my payment to the 2017 WUAP-USA IronFest Championships at the same time as I submit this entry form. I understand I must use the PayPal method provided. I understand I do not need a PayPal Account to use PayPal. If my payment is not received within 10 minutes after I submit my entry form, I understand my entry form will be rejected and I will not be notified of the rejection.

SUBMIT THE ENTRY FORM BEFORE MAKING THE PAYMENT BELOW. YOU MAY RETURN TO THIS ENTRY FORM PAGE AT ANY TIME TO MAKE THE PAYMENT WITHOUT NEEDING TO COMPLETE THE FORM AGAIN.

2018 WUAP-USA Winter Open