REGISTRATION: USA Powerlifting Pure Fitness Open Series #6 USA Powerlifting Pure Fitness Open Series #6 (Dec '18) Registration for the Pure Fitness Open Series #6, a USA Powerlifting sanctioned event. Please fill out the form as completely. A copy of this form will be sent to the email address listed below. Deadline is 12/7/18. NO REFUNDS. YOUR CURRENT USA POWERLIFTING NUMBER IS REQUIRED FOR REGISTRATION. Full Name*Write your name as it appears on your current & valid USA Powerlifting card. No nicknames.Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth*mm/dd/yyyyAge*Phone*Email* Enter Email Confirm Email Division*FR-O (female raw open)F-O (female equipped open)MR-O (male raw open)M-O (male equipped open)Weight Class*47 kg (women only)52 kg (women only)57 kg (women only)63 kg (women only)72 kg (women only)84 kg (women only)84+ kg (women only)59 kg (men only)66 kg (men only)74 kg (men only)83 kg (men only)93 kg (men only)105 kg (men only)120 kg (men only)120+ kg (men only)Current USA Powerlifting membership number*If previously drug tested, when and where?*write NA if you have never been drug tested before.Emergency Contact #1*name and phone numberEmergency Contact #2*name and phone numberShirt Size*X-smallsmallmediumlargex-large2x-large3x-largeUnisex, cotton shirt.Instagram NameWould you like to receive emails about powerlifting? Yes, please send me occassional email about PF powerlifting meets and opportunities. PF Open Series Registration*1 RegistrationPayment Method*Pay Palafter clicking "register" below you will be routed to PayPal to process your registration payment. Your registration is not final without payment.NameThis field is for validation purposes and should be left unchanged.