Document 6576710

Canadian Powerlifting Union Sanctioned Competition 2014 WESTERN CANADIAN BENCH PRESS CHAMPIONSHIP December 14th, 2014 Calgary, AB Meet Director: Barry Antoniow (bantoniow@hotmail.com) Sanctioned by: Canadian Powerlifting Union (CPU)/International Powerlifting Federation (IPF) rules apply. Competition Venue: Peak Power Sport Development (SAIT CAMPUS) 1301-­‐16 Ave N.W. Calgary, AB T2M0L4 (403) 284-­‐7175 www.sportdevelopment.com Weigh In: weigh in at 8:00am, with lifting to begin at 10:00am. Age Categories & Weight Classes: Age and weight categories will be in accordance with CPU/IPF rules. Age categories: Sub-­‐Junior (14-­‐18), Junior (19-­‐23), Open (any age), Master I (40-­‐49), Master II (50-­‐59), Master III (60-­‐69), Master IV (70-­‐79) (Note: Master IV is male only) Female weight classes: 43kg, 47kg, 52kg, 57kg, 63kg, 72kg, 84kg, 84+kg Male weight classes: 53kg, 59kg, 66kg, 74kg, 83kg, 93kg, 105kg, 120kg, 120+kg (Note: women’s 43kg and men’s 53kg only apply to sub-­‐junior and junior competitors) Competitors: This event is open to all CPU members. Awards: Awards will be determined once entries have been received. Doping Control: The CPU follows the rules and regulations of the World Anti-­‐Doping Agency (WADA). By competing in this competition, you accept the possibility of being selected for doping control. Entry fee includes drug testing fee. Note: CPU cards should be purchased from your own province, and must be
purchased in advance of the meet.
Entry Form (please print neatly) Canadian Powerlifting Union 2014 WESTERN CANADIAN BENCH PRESS CHAMPIONSHIP th
December 14 , 2014 Name: _______________________________Date of Birth: ____________________ Address:_____________________________________________________________ City: ________________________________ Province:______________________ Postal Code: _________________________ Phone Number:_________________ CPU Card Number: ____________________ Weight Class:___________________ Age Category:_________________________ Gender:________________________ E-­‐mail Address:_______________________________________________________ Event (check): Equipped Powerlifting _______ Equipped Bench Press _______ Equipped Bench _______ Classic Bench Press _______ ParaPowerlifting ______ Entry Fee: $45 CPU Doping Control Fee: $20.00 Total Amount: $65.00 WAIVER FORM In consideration of accepting this entry, I hereby for myself, heirs, executors, and administrators, waive and release any and all rights and claims for damages I may have against: the International Powerlifting Federation, the Canadian Powerlifting Union, the Alberta Powerlifting Union, Peak Power Sport Development, SAIT, its sponsors and its employees, all organizers, volunteers and sponsors of this contest, from any and all actions, causes of actions, claims and demands which may arise in consequence of my participation in this contest. Signature:_____________________________________________________________ Parent or Guardian Signature (if under 18):_________________________________ Date:_____________________________ Mail to: Peak Power Sport Development (SAIT CAMPUS) 1301-­‐16 Ave N.W. SAIT Campus Centre Calgary, AB T2M0L4 (403) 284-­‐7175 (Make cheques payable to Peak Power Sport Development, or email money transfer to: bantoniow@hotmail.com. Please email to inform if sending e-­‐transfer.)