Location: Brickhouse Gym
104 King Edward St. E.
Winnipeg, MB R3H 0N8
Date: Saturday February 4, 2017 (09:00 – 18:00)
Entry Deadline: Friday January 20, 2017 (NO LATE ENTRIES ACCEPTED)
Important Times to Remember
Weigh-in/Equipment Check: 9:00 am
Lifting Time: 11:00 am
Weight Classes (Kg.):
Women: (43.0 Sub-Junior only), 47, 52, 57, 63, 72, 84, 84+kg
Men: (53.0 Sub-Junior only), 59, 66, 74, 83, 93, 105, 120, 120+kg
Note
ALL COMPETITORS MUST WEAR AN IPF APPROVED SINGLET, Plain T-SHIRT, KNEE HIGH SOCKS (DEADLIFT ONLY), AND CLOSED TOE ATHLETIC FOOT WEAR
SANCTION
SANCTIONED BY THE MANITOBA POWERLIFTING ASSOCIATION, AS REPRESENTATIVE OF THE CANADIAN POWERLIFTING UNION (C.P.U.), AND THE INTERNATIONAL POWERLIFTING FEDERATION (I.P.F.).
ALL RULES IN ACCORDANCE WITH THE INTERNATIONAL POWERLIFTING FEDERATION.
MEET DIRECTORS
Brock Haywood Paul Taylor
Box 637 104 King Edward St. E.
Teulon, Manitoba Winnipeg, MB
R0C-3B0 R3H 0N8
Phone: (204) 886-3860 Phone: (204) 997 4026
subrhaywood@outlook.com paul@brickhousegym.ca
We ask that all not participating in this event as a competitor, consider the possibility of participating as a volunteer, spotter, loader, head table, etc.
Competitions such as this can only function with a fine base of volunteers such as the Manitoba Powerlifting Association has within its ranks.
Please return this sheet c/w entry fee and the following information
Entry Fee
Entry Fee: $65.00
CPU Card Manitoba Resident - $75.00
Note: A CPU card is required to compete. These are available online and MUST BE PURCHASED PRIOR TO COMPETITION. Log in to the following address below under Manitoba
www.powerlifting.ca/membership.html The Manitoba Powerlifting Association recognizes all current registration cards of I.P.F. Affiliate organizations.
NAME: ___________________________________________________________
ADDRESS: ___________________________________ E-Mail: ______________________
PHONE #: _______________ BIRTH DATE: __________ C.P.U. #:_____ WGT. CLASS: ______
Equipped • Unequipped • Powerlifting • Benchpress Only •
Age Group: Sub-Junior Junior Open M1 M2 M3 M4
Personal Information:
Number of years training: ______________ Number of years competing: ________________
Occupation: ___________________________ Thank you to: _________________________
Career Best Lifts: Squat: Bench:
Deadlift: Total:
WAIVER
In consideration of your acceptance of this entry form, I hereby intend to be legally bound, for myself, my heirs, executors and administrators, and to waive and release any and all rights and claims for damages I may have against the International Powerlifting Federation, the Canadian Powerlifting Union, the Manitoba Powerlifting Association, the meet/contest site sponsor, and its employees, all organizers and 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 (IF UNDER 18): __________________________________________
DATE: _____________________________________________________________________________________
Please make all cheques payable to: The Manitoba Powerlifting Association
Return all entries to: The Manitoba Powerlifting Association
Box 637
Teulon, Manitoba
R0C 3B0
LATE ENTRIES WILL NOT BE PROCESSED
NO REFUNDS
