2013 BC Provincial Powerlifting and Bench Press Championships

2013 BC Provincial Powerliftingand Bench Press ChampionshipsDate: June 8 & 9, 2013Location: Coastal Mountain Ballroom - Vancouver Airport Marriott – 7571 Westminster Hwy, Richmond, BCSchedule: Saturday June 8 - Special Olympics 11:00 AM Weigh In: 9:00 AMSunday June 9 -Bench Only 10:30 AMWeigh In: 8:30 AMSunday June 9 - Powerlifting (3 Lift) 12:00 PM Weigh In: 10:00 AM****Times are subject to change based on registration numbers****Sanctioned by:Rules:Eligibility:Canadian Powerlifting Union (CPU) andBritish Columbia Powerlifting Association (BCPA)IPF Rules, drug testing to IPF SpecificationsOpen to all current 2013 CPU members.Special Olympics must be registered with the BC Special Olympics.CPU membership from the BCPA Registrar must be obtained in time for the registrationdeadline. See BCPA website (www. bc-powerlifting.com) for membership application andpayment details.Entry Fees: Open, Master, Junior, $65 Powerlifting $85 Powerliftingand Bench Press(includes T-Shirt) Sub Junior $50 $70 Powerliftingand BenchpressSpecial Olympics $45Bench Press Only $55Awards:Make payment to:Medals – 1 st , 2 nd , 3 rd Place in each weight classBest Lifter – Open/Masters, Junior/Sub-Junior and Bench Press(min. 5 per age category)British Columbia Powerlifting Association (certified cheque or money order)Meet Director: Bill You – Contact email: billyou@telus.net 604-928-3927Entry Deadline: Friday, May 24, 2013Please Note:Entry Form – late entries will not be accepted, so please send your entry form early. NO REFUNDS AFTER ENTRY DEADLINE.Coaching – will be limited to 1 coach per lifter.Warm Up Area – only for lifters and coach; all lifters must ensure the use of collars when warming up.Drug Testing – This is a drug-tested contest. Once a lifter has weighed in he/she accepts the IPF drug-testing procedure INFULL, and from that moment on is in the contest. The lifter may not exit from the contest before its completion. EVEN IFHE/SHE BOMBS OUT! This may be viewed as a refusal to submit a sample for anti-doping control, and if so, will result inimmediate disqualification from the contest and suspension from the BCPA/CPU.

SEND THIS PAGE TOGETHER WITH ENTRY FEE TO:Bill You - 2700B Barnet Hwy, Coquitlam, BC, V3B 1B8Name: CPU Card # Check here if membership application form is inprocess with the RegistrarDate of Birth:Men’s Weight Class (kg) – Circle One:Email:Required53 (Sub-Junior/Junior) 59 66 74 83 93 105 120 120+Women’s Weight Class (kg) – Circle One:43 (Sub-Junior/Junior) 47 52 57 63 72 84 84+Age Category – Circle One:Open Master: I II III IV Junior Sub-JuniorCompetition – Circle One:Powerlifting Bench Press Only Powerlifting + Bench Press Special OlympicsCategory – Circle One: Equipped UnequippedT-Shirt Size: T-Shirt: S M L XL XXLColor: White Black Blue PinkAdditional T-Shirts: $20.00Waiver: I, hereby for myself, my heirs, executors and administrators, waive and release any and all rights and claims fordamages I may have against the Canadian Powerlifting Union, B.C. Powerlifting Association, Vancouver Airport Marriott Hotel,City of Richmond, the Province of B.C. and any of its employees, organizers, volunteers and sponsors of this competition, whichmay arise in consequence of my participation in this contest. I realize that Powerlifting is a high risk sport and that I could beinjured. I certify that I am in good physical health and that I have no serious health problems and that I assume fullresponsibility for such conditions. I accept that I am fully responsible for my well being and safety in the warm up room, on thelifting platform and while I am competing at this event. I am also aware that I am responsible for the actions of any coach andentourage that attend this contest in my support. I also certify by my signature that I have read this waiver and fullyunderstand and accept its terms. I do hereby verify my acceptance of these terms by my signature below.Signature:Phone:Parent/Guardian:(if under 18 years of age)Date: