NO MERCY REGISTRATION FORM

NO MERCY REGISTRATION FORM

2026 NZPU Nationals Qualifier
Name*

First NameLast Name
Contact Details*

Email AddressPhone Number
DOB*

MonthDayYear
Date
NZPU Membership ID
If you are competing as a Novice or do not wish to qualify for Nationals, you do not require a membership
Gender*
TestedUntested
Bare KneesSleevesWraps
SBDBench OnlyDeadlift Only
Weight Class (in KG)*
T-Shirt Size*
Emergency Contact*

NamePhone Number
YesN/A
Yes
The following is mandatory for competitors under the age of 18 years old. Please select "N/A" if this does not apply to you.
YesN/A
Entry Fee:

Novice: $100.00

Sanctioned: $130.00

Payment Details:

FORTRESS GYM TAPUI LTD

38-9026-0311334-02

Particular: Name

Reference: NoMercy
Yes
Yes
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