2025 USA Powerlifting Pennsylvania State Championship Coach Registration
Apr, 25 2025 - Apr, 26 2025
Name
*
First Name
Last Name
Are you a member of the USAPL?
yes
no
USA Powerlifting Membership Number
Put TBD if you do not currently have one.
Email Address
*
example@example.com
Name of lifter
*
First Name
Last Name
Name of lifter
First Name
Last Name
Name of lifter
First Name
Last Name
Name of lifter
First Name
Last Name
Name of lifter
First Name
Last Name
My Products
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Entry Fee
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Signature of coach
*
Refund Policy
*
All sales are final. The are no refunds for any reasons.
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