Manx Powerlifting Membership Form

Manx Powerlifting Membership Form
Name

First NameLast Name
Address

Street Address

Street Address Line 2

TownCounty

Postal Code
Email
example@example.com
Phone Number
Date of Birth
Gender
Club or Usual Place of Training
Nationality
British / Manx Passport Holder
If not a British / Manx passport holder, how long have you been resident in the UK?
Have you ever been or are you currently a member of another IPF federation, if so when / which one?
Membership Type (Select)
By proceeding with this application, I agree to be bound to and abide by the rules of Manx Powerlifting as laid out in the constitution and associated articles available on the website and by the rules of British Powerlifting, in particular to the conduct of members. All members shall remain subject to the Anti Doping Rules for a minimum of 12 months from the date they become a member or their last competition date, whichever is the later.

I agree to be contacted by email with information on news and competitions
YesNo
YesNo
Signature

Clear
Date

MonthDayYear
Date