Informations and registration form Rouyn

2015
Informations and registration form
Rouyn-Noranda, Saturday April 25th
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Informations
1. Competition
1.1. Canadian Masters Weightlifting Championships 2015.
2. Sanction and regulations
2.1. This competition is sanctioned by the Canadian Weightlifting Federation
Master and by the Canadian Weightlifting Federation as well as by the
Quebec Weightlifting Federation.
2.2. An athlete suspended by its federation cannot be part of the competition.
2.3. Competition regulations are those of the IWF, IWF Masters.
2.4. An athlete that fails his/her three (3) attempts at the snatch will be
allowed to lift in the clean and jerk but his/her total will be zero (0) and
no classification and no medals will be awarded.
3. Organizing Committee
3.1. Le Club Héraclès de Rouyn-Noranda is responsible for the organization
of the competition through its organizing committee and its board of
directors.
4. Date
4.1. The championships will be held Saturday, April 25th 2015.
5. Competition Site
5.1. Centre Élisabeth-Bruyère, 225, rue Perreault Est, Rouyn-Noranda (QC)
J9X 5C9
6. Ages Categories
6.1. Men M30, M35, M40, M45, M50, M55, M60, M65, M70, M75 , M80+
6.2. Women W30, W35, W40, W45, W50, W55, W60, W65, W70, W75+
7. Participants
7.1. All registered athletes, coaches and active referees during the
competition will be considered participating in the competition.
7.2. All athletes male or female aged 30 years old in the year 2015 will be
considered eligible for the competition if he/she meets these two (2)
criterias.
7.2.1. Membership in good standing of the Weightlifting Federation in the
province or territory of residence (membership number required).
For Quebec athletes registered to the Quebec Weightlifting
Federation; the Performance license is required.
7.2.2. Membership in good standing of the Canadian Master Weightlifting
Federation (membership number required).
8. Medals and trophies
8.1. Medals will be awarded for 1st, 2nd and 3rd place in each category.
8.2. A trophy will be awarded to the best female and male lifters in the
competition determined by the Sinclair-Meltzer-Faber formula (2015).
For more information visit the web site : www.iwfmasters.net
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9. Anti-doping
9.1
All registered athletes are susceptible to be anti-doping controlled.
It’s your responsibility to provide an exemption for a therapeutic
use of medicine (TUE). For more information you can visit the web
site : www.cces.ca
10. Registration fees
10.1.
The registration fee for each participant is 60,00$ CDN.
10.2.
The deadline for entries is April 7th 2015 at midnight.
10.3.
There will be no entry refund.
10.4.
The registration fee for the closing banquet are not included in the
entry fee for the competition.
10.5.
Make check or money order in the name of the Club Héraclès de
Rouyn-Noranda.
11. The start list and official schedule
11.1.
The official assignment, the start list and group assignment will be
emailed to all participants and posted on the web site :
th
www.cdnmastersweightlifting.org on Friday, April 17 2015.
12. Closing banquet
12.1.
The fee for the banquet is 40,00$ per person.
12.2.
Alcoholic beverages are not included in the price of the banquet.
12.3.
The banquet will be held at the Hôtel Gouverneur Le Noranda of
Rouyn-Noranda in the Capital hall, on Saturday, April 25th at 8h30
PM.
12.4.
Participants may order additional tickets for the banquet on the
registration form.
13. Documents
13.1.
At the official weigh-in each athlete will have to produce a valid ID
with date of birth and photo.
13.2.
A copy of the medical exemption form for therapeutic use (TUE) if
required.
14. Organizing Committee
14.1.
President : Mario Robitaille (819-277-2757)
Robitaille.Mario.2@hydro.qc.ca
14.2.
Vice-president : Paul St-Amant (819-764-9031)
paulstamant@hotrmail.com
Secretary of the competition : Sylvain Savard (819-279-3022)
savard9325@gmail.com
14.3.
Responsible for officials : Sylvie Girard
sylviegirarddsi@hotmail.com
15. Technical Meeting
15.1.
The technical meeting will be held Friday, April 24 th at the
Hôtel Gouverneur Le Noranda at 7h00 PM.
15.2.
During the technical meeting any planned changes of category
or abandon must be reported by the athlete or his/her coach.
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16. Age Group competition
16.1.
Group M1 : M-80+, M-75, M-70, M-65, M-60
16.2.
Group M2 : M-55, M-50, M-45
16.3.
Group M3 : M-40, M-35, M-30
16.4.
Group W1 : W-75+, W-70, W-65, W-60, W55, W50
16.5.
Group W2 : W-45, W-40, W-35, W-30
17. Preliminary Schedule weigh-in
17.1.
M1 7:00 AM - 8:00 AM
17.2.
W1 9:00 AM - 10:00 AM
17.3.
M2 11:00 AM - Noon
17.4.
W2 1:00 PM - 2:00 PM
17.5.
M3
3:00 PM – 4:00 PM
18. Preliminary Competition Schedule
18.1.
9:00 AM start M1
18.2.
10:45 AM medal presentations M1
18.3.
11:00 AM start W1
18.4.
12:45 PM medal presentation W1
18.5.
1:00 PM start M2
18.6.
2:45 PM medal presentations M2
18.7.
3:00 PM start W2
18.8.
4:45 PM medal presentations W2
18.9.
5:00 PM start M3
18.10.
6:45 PM medal presentations M3
18.11.
7:00 PM End of the competition
18.12.
8:30 closing banquet
19. Hotel Accommodation
19.1.
Hôtel Gouverneur Le Noranda (41, 6eme rue, Rouyn-Noranda).
19.2.
Toll-free : 1-866-562-2341
19.3.
Special Group rates : 114$ plus fees and taxes.
19.4.
A 5 minutes drive from the competition site.
19.5.
http://www.lenoranda.com
19.6.
For reservations indicated that you are part of the “Canadian
Masters Championships”.
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20. Airport and distance
20.1.
Regional airport of Rouyn-Noranda
20.2.
20 minutes from downtown Rouyn-Noranda
20.3.
Serviced by Air Canada :
http://www.aircanada.com/fr/flights/to-Rouyn-noranda.html
20.4.
Web Site of Rouyn-Noranda :
http://www.ville.rouyn-noranda.qc.ca/fr/index/
20.5.
Distance
Montreal
Quebec
Trois-Rivieres
Gatineau
St-Hyacinthe
Sherbrooke
636 km
871 km
742 km
528 km
683 km
786 km
Kirkland Lake
New Liskeard
North Bay
Ottawa
Sudbury
Toronto
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86 km
122 km
280 km
521 km
345 km
621 km
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Registration Form
Canadian Masters Championships 2015
Given name : ____________________________________________
Surname :
_________________________________________
Address :
____________________________________________
City :
______________ Province :
___________________
Postal code : _______-________
Telephone :
E-mail :
Home : ______________ Mobile : ________________
___________________@__________________________
Date of birth :
Day : ______ Month : _______ Year : ________
Age group :
M- _____ or W- ______
Weight category : ______
Best official total made since September 2014 : _______________
Name of your coach : ____________________________________
Club’s name : ___________________________________________
Membership number Master Canadian Federation : ___________
Membership number Provincial Federations : ________________ QWF Performance license required
I’m offering my services as an official after my competition : Yes___ No___ Nation level required___
T-shirt of the competition : Quantity : ___ Man size : M___ L___ XL___ XXL___
T-shirt of the competition : Quantity : ___ Female size : S___ M___ L___
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Rate of inscription : _____________________60$_________________
Banquet : Name : _____________________40$_________________
Name : _____________________40$
_____________
Name : _____________________40$
______________
Name : _____________________40$_________________
T-shirt : Quantity :
______________ _20$__________________
Total :
____________
WAIVER AND RELEASE OF LIABILITY
In consideration of entering and participating in the 2015 Canadian Masters Weightlifting Championships (the
“Competition”) and any and all activities related to the Competition, the undersigned acknowledges, confirms, appreciates
and agrees that :
- The risk of injury from the activities involved in this Competition is significant, including the potential for permanent
paralysis and death, and while particular rules, equipment, coaching and personal discipline may reduce this risk, the risk
of serious injury does exist;
- I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, and I assume full responsibility
for my participation in the Competition;
- I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe
any usual significant hazard during my presence or participation, I will remove myself from participation and bring such to
the attention to the officials and the organization committee immediately.
- I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND
HOLD HARMLESS the CWFHC, the Canadian Masters Weightlifting Committee, the Quebec Weightlifting Federation, the
sponsors of this competition, their respective officers, directors, officials, agents and/or employees, volunteers, other
participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to host
training or conduct the event (the “Releases”), WITH RESPECT TO ANY AND ALL INJURIES, DISABILITY, DEATH, or,
loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OF RELEASEES OR OTHERWISE.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS
TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND
VOLUNTARILY WITHOUT ANY INDUCEMENT.
Signature _____________________________ Date _______________
Send your form including a check or money order payable to :
Club Héraclès Rouyn-Noranda
Mail to:
Sylvain Savard
252 rue Monseigneur-Rhéaume Est
Rouyn-Noranda (QC) J9X 3J8
Note : The fees for the competition, the banquet and the t-shirts are non-refundable. If you did
not order the right size t-shirt, we will exchange them if size are available.
The deadline for entries is April 7th 2015 at midnight
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