Registration
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Your Name
First Name
Last Name
Your Email
example@example.com
Phone
Age
Age at time of competition
Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
N/A
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Bio (optional)
Tell us a bit about you and where you train
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Event
'til VALHALLA Powerlifting Championship
Weight Class
Please Select
below 44kg/97lb
44kg / 97lb
48kg / 105lb
52kg / 114lb
56kg / 123lb
60kg / 132lb
67.5kg / 148lb
75kg / 165lb
82.5kg / 181lb
90kg / 198lb
100kg / 220lb
110kg / 242lb
125kg / 275lb
140kg / 308lb
over 140kg / 308lb
Equipment
Please Select
Raw (bare knees)
Classic (knee wraps)
Single Ply
Multi Ply
Contest
Please Select
APF
AAPF (Drug Tested)
APF + AAPF (Drug Tested)
Law/Fire/Military (Drug Tested)
Competition Class
Please Select
Teen (13 - 15)
Teen (16 - 17)
Teen ( 18 - 19)
junior (20 - 23)
Open
Sub-Master (33-39)
Master (40-44)
Master (45 - 49)
Master (50 - 54)
Master (55 - 59)
Master (60 - 64)
Master (65 - 69)
Master (70 - 79)
Master (75 - 79)
Master (80+)
Class Event
Please Select
Full Powerlift
Bench Press Only
Deadlift Only
Bench + Deadlift
Full Powerlift + Bench + Deadlift
Full Powerlift + Bench
Full Powerlift + Deadlift
Additional Competition Class
Please Select
Teen (13 - 15)
Teen (16 - 17)
Teen (18 - 19)
Junior (20 -23)
Open
Sub - Master (33 - 39)
Master (40 - 44)
Master (45 - 49)
Master (50 - 54)
Master (55 - 59)
Master (60 - 64)
Master (65 - 69)
Master (70 - 74)
Master (75 - 79)
Master (80+)
Additional Event(s)
Full Powerlift
Bench Press
Deadlift
Bench + Deadlift
Full Powerlift + Bench + Deadlift
Full Powerlift + Bench
Full Powerlift + Deadlift
Signature
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