OFBCA REGIONAL/STATE POWERLIFTING FORM

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					    OFBCA REGIONAL/STATE POWERLIFTING FORM
                            McLOUD HIGH SCHOOL


SCHOOL:______________________________________COACH:_________________

Name of Lifter:__________________________________Weight Division:___________


SCHOOL CLASSIFICATION: (circle one)

       Large School (6A, 5A, 4A, 3A)                 Small School (2A, A, B, C)


   We, the undersigned, agree not to hold the Oklahoma Football Coaches Association
and/or host school and officials liable in the event of an accident. We further agree to
abide by all rules and regulations established by the OFBCA.


____________________________________                 ______________________________
(Signature of Lifter)                                (Signature of Parent/Guardian)


____________________________________
(Signature of Coach)


NOTE:

   1. Each lifter is to complete this form and turn in before weigh-in.

   2. Coach may copy this form as needed.

   3. Coach might want to sign his name first then make copies of form.

   4. Must have form turned in before issued attempt cards.


Fred Peery
N. E. Regional Meet Director
Fax: (405) 258-1850
e-mail: fpeery@chandler.k12.ok.us

				
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