Club Ratification Club Ratification Form Year Registering Club* Club Registration is from 1 Jan of year to 31 Dec of same year. All Club/Team registrations must be resubmitted each year.New Club Name Use this to create a new club only. If you are regitering an existing club use the next entry column.Existing ClubsUnattachedAfterburn BarbellAPEX IronAthlete Performance SystemsBand of BarbellsBarrie Barbell ClubBarbell AcademyBattlefield StrengthBrampton BarbellBrock BarbellDundas Valley PowerEastbound PowerliftingFleming BarbellForce of WillFunctional Strength PowerliftingFuture Proof PowerliftingGolden Triangle PowerliftingHamilton BarbellInfinite MAFInvictus PowerliftingIron AthleticsKW GrizzliesLab Barbell ClubLondon Powerlifting ClubMcMaster BarbellMillennial Powerlifting ClubMonster Powerlifting ClubNiagara PowerliftingOttawa StrongPanda PowerliftingPower Pit Powerlifting ClubPoweReacHPR BarbellPrevail LifeStyleQU PowerliftingRavens PowerliftingRick Hansen Secondary SchoolRyerson Barbell ClubSeneca Strength Athletics TeamSteel City PowerliftingTempo Fitness & PerformanceThe Iron King LtdTitans of MississaugaUltimate FitnessUOPowerValhalla PowerliftingVictory BarbellVoyageurs PowerliftingWestern StrengthThe Weight Pit5 Star PowerliftingOther - not on this listValid January 1 - December 31 Benefits of being an affiliated club of the OPA - Only registered clubs can enter as a team in a contest - Clubs can play a part of promoting powerlifting in their community - Clubs are provided visibility on the OPA website - In order to represent a club, a member must train with the club on a regular basis (at least once per month) - No member may compete under a club name unless that club has taken out an affiliation. An athlete that does not belong to a club must enter a contest as an unattached lifter. - Club affiliation must be renewed annually. Validity runs January 1 - December 31 Fee: $ 40.00 Please send e-Transfer to the OPA CFO at financial@ontariopowerlifting.org. Please note that all fees pertaining to the OPA can be found in the constitution. As an affiliated club, you should be aware of this document as it contains all the rules of our Provincial Association. Contact Name* First Last Contact CPU #* Contact Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Contact PhoneClub Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country If different from Contact AddressClub PhoneIf different from Contact PhoneEmail Enter Email Confirm Email Club Concact E-MailWebsite/Facebook Provide Club Website or Facebook linkDate* DD slash MM slash YYYY Consent* I agree to the privacy policy.It is agreed that, if a membership be granted, our club will abide by the Constitutional requirements for membership of the Ontario Powerlifting Association and the Canadian Powerlifting Union. We further understand that suspension may follow any violation of the said constitution and by-laws. It is further and clearly understood that the Ontario Powerlifting Association reserves the right to cancel this said affiliation at any time. Steps for Electronic Payment: Applicant creates and sends an interact transfer through their online banking to treasurer at financial@ontariopowerlifting.org. Applicant will also need to create a security question and password that we will need to receive the money. They then send another email to the treasurer with their name, the security question and password. Clearly indicate what the payment is for. Important: If you are paying by e-transfer and haven't received a confirmation email from the treasurer within a couple of days, please email her to confirm he has received payment. Your request will be dealt with as soon as possible. We are a volunteer run organization and all of us have day jobs, training, family and other demands on our time. Your club will be posted within 4 business days after it has been approved by the Registrar. Thank you! 53743