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Thursday, January 3, 2013

January Pwoer Meet Entry Form


FC Crossfit Full Power Meet

January 26, 2013 at 10am

Registration starts at 9 am!

Sponsored in part by Fitness Crossing, 140 Elliot Street, Beverly, MA 01915

Phone number: 508-284-0627

 

 

Individual Lifts $25 each 10% off Military, Police and Fire
Sanctioned by WFSS Womens Federation of Strength Sports
*Annual memberships $29Individual Lifts $25 each 10% off Military, Police and Fire
Sanctioned by WFSS Womens Federation of Strength Sports
*Annual memberships $29Individual lifts $25 each, 10% off Military, Police, and Fire. Sanctioned by WFSS Women’s Foundation of Strength and Sport, Annual membership $29

 

Register TODAY! Deadline is January 22nd

   ** Late entry subject to $25 late fee

 

 

 

Registrant: _________________________________________ Age:___________

 

Phone:_____________________________ Address:_______________________________________

City:_____________________________ State: __________________ Zip Code:_______________

Email:___________________________________________________________________

Current weight:_____________________

 

Please Check your categories:

____Junior (under age 18) _________ Men _____ Women ____ Senior (over 55)

 

___ Squat ____ Bench ____ Deadlift _____ All 3 lifts

 

Weight Class (circle one): 275 – 242 – 220 – 198 – 181 – 165 – 148 – 132 – 123 – 114

 

For Official Use only:

Weight at check in : _____________

Openers: Squat __________ Bench ____________ Deadlift _____________

Please mail to : Fitness Crossing,  140 Elliot Street, Beverly, MA 01915

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