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Individual Lifter

Event Information

Select your class *

Would you like to compete in the Open Division as well? *

Yes

Select your event(s) *

Powerlifting

Benchpress

Push-Pull

Select your Open event(s) *

Powerlifting

Benchpress

Push-Pull

Weight (kg) *

Additional Youth Weights (kg)

USA Powerlifting Membership Number *

RAW or EQUIPPED? *

Participant Information

Contact Email *

Participant First Name *

Participant Last Name *

Participant Birthdate *

Participant Gender *

Male

Female

Country *

Street Address (w/Apt#) *

City *

State *

County *

Zip Code *

Phone *

Would you like to receive important event text alerts on this number (eg. changes or delays)?

Emergency Contact *

Emergency Phone *

Athlete Apparel

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Country *

Street Address *

City *

State *

Zip Code *

Make a Donation

Nebraska Sports Council - Adopt an Athlete

Amount $

Waiver *

I have read and agreed to the TERMS *

CLICK HERE TO VIEW THE TERMS.

Is the participant 18 or older? *

18 or older Under 18

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