Powerlifting Recruiting Form

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Email address *

First name *

Last name *

Address 1 *

City *

State *

ZIP Code *

Cell Phone Number *

High School *

Did you graduate?

yes no

Graduation year *

Program of Interest (if known)

Have you participate in Powerlifting before? If so, how long? *

Did you participate in high school? What was your coaches name? *

What level of participation are you interested in? *

Interested in learning more about strength training Casual: looking to improve but not sure about competition Competitive: interested in competitions

How would you best describe your level of experience with strength training or powerlifting? *

Beginner Intermediate Advanced

* required field