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World Powerlifting Championships 2023 – Entry Form

2023 World Powerlifting Championships – Entry Form

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Birth(Required)

DD slash MM slash YYYY

Nation(Required)

I am:(Required)

Lifter

Coach

Referee

Doctor

Accompanying Person

Competition:(Required)

Powerlifting 3 Lifts

Push / Pull

Bench Press Only

Deadlift Only

Bodyweight Class

Best Total

Referee Status(Required)

World Referee 1

World Referee 2

Passport Number(Required)

Passport Scan(Required)

Max. file size: 16 MB.

Visa Number

Travel Insurance Scan

Max. file size: 16 MB.

Product Name

Accomodation (Euros)(Required)

Accomodation Booking(Required)

Max. file size: 16 MB.

Names of others staying in room

Tansfer to Hotel(Required)

Bologna airport

Bologna Train Station

No Transfer Required

If travelling from outside Italy, please provide a copy of your flights and or train itinerary.

Max. file size: 16 MB.

Consent(Required)

I hereby agree to the rules and regulations of CSIT and World Powerlifting, including the Anti-Doping Policies of both organisations

Total

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