American Powerlifting Committee 
Team Entry Form

This form will be used to enter a team to all APC powerlifting events.  The  team entry form and entry fee with the list of 6 starting lifters and 6 alternate lifters must be submitted 10 days before the start of the competition.  The entry fee will be determined by the meet director.

Starting team members:

1._______________________________________________________________________________________

2._______________________________________________________________________________________

3._______________________________________________________________________________________

4._______________________________________________________________________________________

5._______________________________________________________________________________________

6._______________________________________________________________________________________

Alternate team members:

1.________________________________________________________________________________________

2.________________________________________________________________________________________

3.________________________________________________________________________________________

4.________________________________________________________________________________________

5.________________________________________________________________________________________

6.________________________________________________________________________________________

Release From Liability. Read this carefully.
By signing this you will be giving up important rights. In consideration of my acceptance of my entry form in this powerlifting/benchpress competition, I understand that I am legally bound for not only myself but also for my heirs, my executors, and my administrators. In signing this release from liability I waive and release L B Baker,  IronDawg Power, Inc.,  The American Powerlifitng Committee, Inc., all Officials, Referees, Spotter/Loaders and any other person or firm taking part in this competition from any and all liability which may arise from this competition. I understand all of the above for my acceptance of my entry in this competition. By signing this entry form I affirm that all the information on this form is correct.

Signature of team Captain________________________________________________________

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