First Name*

Last Name*

Your Email*

Date of Birth*

Address

City

Phone Number*

Age Group*
Sub-JuniorJuniorOpenMasters 1Masters 2Masters 3Masters 4

Sex*
MaleFemale

Weight Class (males)
--53kg59kg66kg74kg83kg93kg105kg120kg120kg+

Weight Class (females)
--43kg47kg52kg57kg63kg72kg84kg84kg+

T-Shirt Size*
XSSMLXLXXL

I acknowledge that there will be no refunds of the entry fee for any reason*

By checking the following box, I acknowledge that I must present a valid APU/CPU membership card and valid certificate of completion of the CCES True Sport Clean course in order to compete*

In consideration of accepting this entry, I hereby for myself, heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against: the International Powerlifting Federation, the Canadian Powerlifting Union, the Alberta Powerlifting Union and Executive, Kings Fitness, its employees, all organizers, 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. I realize that Powerlifting is a high risk sport and that I could be injured. I certify that I am in good physical health and that I have no serious health problems and that I assume full responsibility for such conditions. I accept that I am fully responsible for my well being and safety in the warm up room, on the lifting platform and while I am competing at this event. I am also aware that I am responsible for the actions of any coach and entourage that attend this contest in my support. I also certify by my acceptance that I have read this waiver and fully understand and accept its terms. do hereby verify my acceptance of these terms by my clicking the checkbox below*

Type name as signature*

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