Orangevile Open 2016

Orangeville Open Three Lift & Bench Only

Please note that the three lift is full but there is still space in the bench only.

Name of Contest

Date of Contest

The OPA and CPU follow the rules and regulations of the World Anti-Doping Agency (WADA). By competing in this competition, you accept the possibility of being selected for drug testing.
Entry fee includes drug-testing fee.

Meet Registration Fee

OPA Drug Testing Fee

Total Fee (Meet fee plus Drug Testing Fee)

Please enter entire amount for meet including drug testing fee

First Name

Last Name

Address

City

Province

Postal Code

Phone Number

number should be entered as ### ### ####

Email

Club Representing

Or

Unattached

CPU Card Number

You must have a current CPU card to complete the application

Weight Class (kg)

Year of Birth

yyyy

Gender

Male Female

Select Classic or Equipped

Equipped Classic

Contest Category Entered. Check all that apply.

T-Shirt Size

You must be registered with the O.P.A.(Ontario Powerlifting Association) or C.P.U. (Canadian Powerlifting Union) or recognized I.P.F. (International Powerlifting Federation) affiliate. Registration cards must be shown at weigh-in.

I.P.F. Rules will be strictly enforced. The O.P.A. and C.P.U. reserves the right to carry out drug testing at any contest under their jurisdiction.

Should there be an instance during competition where I am not medically able to determine emergency medical care for myself, I authorize the Ontario Powerlifting Association or Ontario Powerlifting Club officials to take such measures and arrange for such medical and hospital treatment as they may deem advisable for my health and well being.

In consideration of your acceptance, I hereby intend to be legally bound for myself: my heirs, executors or assigns waive and release any and all rights and claims for damages I may have against the C.P.U., the O.P.A., the Directors, the Executives or their representatives and successors and/or assigns, and the sponsors of this contest for any and all injuries suffered by me at the said contest.

Both Ontario and Canadian records are adhering to the 7 day time limit. If they have not received your application within 7 days you lose your chance to claim the accomplishment.

National records may be claimed directly through the Canadian Powerlifting Union. Ontario Records may be claimed through the Ontario Records Chairperson

Type name to indicate signature

This must be filled out for application to be accepted

Date (dd/mm/yyyy)

Please complete all areas. Entry fees are non-refundable and non-transferable

Options for Payment

I will be paying by

Steps for E-Transfer

Create and send an interac transfer through your online banking to meet director James Newton at HighlandPowerlifting@gmail.com. You will also need to create a security question and password that he will need to receive the money.

You then send another email to the meet director, with your name, the security question and password. INDICATE CLEARLY THAT THIS IS THE REGISTRATION FEE FOR THE ORANGEVILLE OPEN