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THE UNIVERSITY OF ALBERTA POWERLIFTING ASSOCIATION AND
THE ALBERTA POWERLIFTING UNION PRESENTS:
THE 2014 POWER SURGE V COMPETITION
DATE:
PLACE:
Saturday, November 15th, 2014
University of Alberta Universiade Pavilion (Butterdome), Van Vliet
Centre, Edmonton, AB, T6G 2H9
ENTRY FORM HARD DEADLINE: Friday, November 1st, 2014
LIFTER LIMIT: 14 Bench-Only and 56 3-Lift
SCHEDULE
Saturday November 15th, 2014: Power Surge V
 Equipment Check: 7:00 a.m. – 7:30 a.m.
 Weigh-ins: 7:30a.m. – 9:00 a.m.
 Lifting Begins: 10:00a.m. (3-lift) 9:30a.m(Bench)
 Awards: 30 minutes following end of last session
Note:
 Detailed schedule of sessions and flight number will be sent to registered
athletes following the entry deadline.
 Weigh-ins will not necessarily be in the order of lightest to heaviest. All
lifters are expected to be at the venue half an hour before weigh-in. The
weigh-in order and lot numbers will be posted at the head referee table. If
you do not make the weight class specified on your entry sheet you will be
moved up or down a weight class to accommodate your actual weight.
FEE:
Powerlifting
Bench Press
Both
- $100
- $60
- $130
** - $30 of the entry fee will be going towards drug testing (CCES)
AWARDS
Male and Female Best Classic Bench Press Awards
Male and Female Best Equipped Bench Press Awards
Male and Female Best Equipped Powerlifting Awards
Male and Female Best Classic Powerlifting Awards
Medals for Male and Female Weight Classes
***If you are not present to receive your award during the ceremony then you
may have someone accept it on your behalf. It is not the duty of the UAPA to
mail out awards to recipients not present for the award ceremony. If you or
someone you know does not claim your award, then your award is forfeited.
CLASSIC AND EQUIPPED POWERLIFTING:
As defined by the International Powerlifting Federation (IPF), classic lifting is
the use of only wrist wraps, knee sleeves, and a belt. Athletes must also wear a
non-supportive singlet, a form fitting t-shirt, and brief- or thong-style
undergarments (no boxers or compression shorts). If athletes are competing
equipped, by using supportive equipment, all brands and material must be
approved by the IPF. Each year the rules governing approved equipment can
change according to IPF executive rulings. Therefore, it is the athlete’s
responsibility to understand these changes. For more information on classic
and equipped lifting, and approved equipment, please visit:
http://www.powerlifting-ipf.com/Rules.17.0.html.
IPF Technical Rule Book http://www.powerlifting-ipf.com/50.html
IPF Approved Gear List http://www.powerlifting-ipf.com/51.html
IPF ‘Classic’ Approved Gear List http://www.powerliftingipf.com/fileadmin/data/Technical_Rules/IPF_CLASSIC-Rules_2013.pdf
APU MEMBERSHIP INFORMATION:
All lifters must be members of the CPU/APU to compete. All athletes must
obtain this membership prior to the competition. Athletes will be asked to
present their membership card at weigh-ins. Failure to provide proof of
membership will result in disqualification. For CPU/APU membership, please
visit http://powerliftingab.com/Membership.htm and print the membership
form and send to James Bartlett at the address found therein.
DRUG TESTING:
The pursuit of doping-free sport is a matter of public interest. The CPU is
committed to eradicating the use of performance enhancing drugs from
powerlifting in Canada. As such, all members of the CPU, by virtue of
membership, are agreeing to submit to periodic drug testing, either at a
sanctioned CPU contest, or on a "short notice" or "no notice" out of competition
basis. It is frowned upon to enter contests knowingly using or previously using
PEDS. This action carries the risk of suspension. Doping is cheating in the
APU/CPU/IPF.
The CPU follows the guidelines of the Canadian Centre of Ethics in Sports (CCES).
The CCES sets the rules that govern doping control in Canada. Compliant to the
World Anti-Doping Agency, the CCES describes how the program is carried out
and details the process of results management, including penalties for
infractions.
Full details of the drug testing protocols that the CPU adheres to may be found
on the CCES website at: http://www.cces.ca/.
VOLUNTEERS:
Volunteers are required to help run the competitions. Spotters, bar loaders,
score table associates, and general volunteers will be needed. To volunteer,
please contact:
Ken Gavina (volunteer coordinator):
[email protected], or text 204-999-7719 (no phone calls please).
RULES:
All athletes are expected to read and understand the following article from the
APU website regarding the competition rules and procedures for the squat,
bench and deadlift:
http://www.powerliftingab.com/WhatisPL.htm.
GETTING THERE:
Transit: There are two LRT and multiple bus stops on the University of Alberta
campus. For transit routes visit
http://www.edmonton.ca/transportation/edmonton-transit-system-ets.aspx.
VENUE DETAILS:
The competition will be held in the Universiade pavilion (Butterdome), on the
track floor, inside the curtain-enclosed area. There will be ample room for a
warm-up area, seating, and a competition area.
The University of Alberta offers visitors and athletes an assortment of amenities.
Please visit the following link for more details: http://www.ualberta.ca/
WEBSITE:
Follow us on Facebook! ‘Like’ Alberta Powerlifting Union for updates!
https://www.facebook.com/pages/Alberta-PowerliftingUnion/151634654920500
www.powerliftingab.com or www.powerlifting.ca
INQUIRIES:
Meet Director
Ken Gavina, [email protected]
**WORDS FOR THE FIRST-TIME LIFTER**
It is great that you want to compete and challenge yourself on the platform.
There are a few key things you need to know for meet day:
1. Your attempts are in kilograms! 1kg =2.2lbs
2. Know your rack heights and safety heights on an ER Rack. You can
measure these numbers ahead of time if possible or figure them out in the
warm-up area.
3. You must have a valid APU/CPU membership card.
4. Know what equipment is legal! This includes belts, wraps, clothing, socks,
suits and bench shirts.
5. You need legless underwear or ‘whitey tighties’. No compression shorts
of any kind!
6. You need a singlet; shorts and a t-shirt won’t do!
7. You need to wear a non-supportive t-shirt under your singlet. No
compression shirts of any kind! Unmarked cotton t-shirts are best.
8. You need knee-high socks. These are required for the deadlift portion
of the event. Wearing normal socks for the squat and bench is OK.
9. Ignorance is not a valid excuse.
Also look at the APU’s tutorial “What is PL?” found at:
http://www.powerliftingab.com/WhatisPL.htm
ENTRY FORM
NAME: ____________________________________________________________________________________________________________________
ADDRESS: ________________________________________________________________________________________________________________
CITY: __________________________________________ POSTAL CODE: __________________________________________________________
PHONE: _______________________________ EMAIL (mandatory):___________________________________________________________
DATE OF BIRTH: ____________________________________ SEX: (Please Circle)
MALE
FEMALE
APU/CPU CARD NUMBER: _________________________
AGE CLASS (Circle One):
SUB-JUNIOR
JUNIOR
T-SHIRT SIZE (Circle):
OPEN MASTER I II III IV
BLIND
XS
S
M
L
XL
2XL
3XL
WEIGHT CLASS (Circle One):
(MEN)
53Kg
59Kg
66Kg
74Kg
83Kg
93Kg
105Kg
120Kg
(WOMEN)
43Kg
47Kg
52Kg
57Kg
63Kg
72Kg
84Kg
84+Kg
TYPE OF LIFTING (Circle One):
CLASSIC
120+ Kg
EQUIPPED
Early-bird Discount of 10% if submitted by October 10th 2014 @ 5pm
UAPA membership Discount of 10% (may not be combined with Early-bird Discount)
EVENT (Circle):
$100 Powerlifting (Classic or Equipped) Course Code 27926
$60 Bench Only (Classic or Equipped)
Course Code 27927
$130 Both Events (Both Classic, Both Equipped, Bench-Only Classic/3-Lift Equipped, Bench-Only
Equipped/3-Lift Classic)
Course Code 27926 & 27927
$25 Extra T-Shirt
TOTAL AMOUNT ENCLOSED $_____________
PAYMENT OPTIONS
Please mail PAYMENTS (Payable to “University of Alberta”), ENTRY FORM, and SIGNED WAIVER to:
U of A Powerlifting Club
c/o Activity Registration Zone Sales Office
Rm. W-79, Van Vliet Centre
Faculty of Physical Education & Recreation
University of Alberta, Edmonton, AB T6G 2H9
http://recservices.ualberta.ca/en/Register.aspx
In Person
Activity Registration Zone - Sales Office,
Room W-79, Van Vliet Centre.
Hours
Monday to Thursday from 0800-1900, Friday 0800-1700, Saturday 0900-1200
By Phone
Activity Registration Zone - 780-492-2231
By Fax
Fax 492-7190
By Mail
Activity Registration Zone
Faculty of Physical Education and Recreation
W-79, Van Vliet Centre
University of Alberta, Edmonton, Alberta T6G 2H9
How to Pay
 Credit card (VISA or MasterCard only)
 Debit card (in person only)
 Cash
 Personal cheque (payable to University of Alberta)
UNIVERSITY OF ALBERTA POWERLIFTING CLUB
REGISTRATION: Club Year - September 1, 2014 to August 31, 2015 AND
RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT
WARNING! BY SIGNING THIS FORM YOU GIVE UP IMPORTANT LEGAL RIGHTS
INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY!
(MUST print this Section)
NAME OF PARTICIPANT:_______________________________________________________________________________
ADDRESS OF PARTICIPANT:____________________________________________________________________________
CITY:________________________ PROV:________ POSTAL CODE:___________________
BIRTH DATE: _________________ STUDENT/STAFF ID: __________________ PHONE NO: ___________________
E-MAIL ADDRESS: _______________________________@____________________________________________________
EMERGENCY CONTACT: ____________________ RELATIONSHIP: ____________ PHONE NO: _________________
SELECT ONE:  UNDERGRADUATE STUDENT
 NON-UNIVERSITY
 GRAD STUDENT
 STAFF/FACULTY
 ALUMNI
 OTHER (Specify): ____________________________________
DISCLAIMER CLAUSE
The University of Alberta Powerlifting Club, the University of Alberta Students' Union, and The Governors of the University of Alberta their officers,
directors, agents, contractors, employees, coaches/instructors, trainers, volunteers, members and representatives (all hereafter collectively referred to as
“the Club”), are not responsible for any injury, loss or damage of any kind sustained by any person while registered as a Club member and participating
in any and all Club sanctioned activities, events, practise sessions, tournaments or social activities (all hereafter collectively referred to as “Club
Activities”), including injury, loss or damage which might be caused by the negligence of the Club.
ASSUMPTION OF RISKS
In consideration of my membership and/or participation in Club Activities, I acknowledge that I am aware of the possible risks, dangers and hazards
associated with being a member, including the possible risk of severe or fatal injury to myself or others. These risks include but are not limited to:
a) all manner of injuries resulting in muscular injuries and soft tissue injuries including bruises, scrapes, cuts, torn ligaments etc, from executing
strenuous and demanding physical techniques, such as lifting or dropping of weights and failure in proper execution of techniques either by myself
or other participants and improper use of equipment;
b) all manner of injuries resulting in sprains, dislocations, concussion, broken bones, haematomas, whiplash, contusions, pulled or strained muscles,
torn ligaments, muscles and tendons, joint strain and sprain, and bruising to the tail bone, wrists, legs, arms, back, neck, and injuries to the gluteus
maximus, pulled groin muscle, and heart attack/stroke;
c) all manner of head, facial, eye and/or dental injuries caused by equipment or persons;
d) all manner of spine or spinal cord injuries which may render me permanently paralysed;
e) all manner of injuries, severe or fatal, resulting cuts, tears, bruises or punctures caused by “racking/unracking” of weights, the weightlifting bar, use
of weight room benches and other equipment, accessories or props either from myself or another participant;
f) Transmission of diseases or skin diseases in various ways and types from contact with other participants, equipment and equipment within facilities
resulting in death, disease or other illnesses;
g) all manner of medical problems resulting from heat exhaustion, asthma, communicable diseases, skin rashes, weightlifting chalk inhalation and
cramps;
h) all manner of internal injuries of body parts and organs, and trauma to larynx or pharynx;
i) all manners of injuries and damage of equipment incurred due to loss of consciousness, to myself and other persons;
j) that my risk of injury increases as I become fatigued, experience pain, frustration, humiliation, and/or performance anxiety;
k) all manner of injures and/or death that could result from a physical confrontation or assistance in weightlifting techniques (including “spotting”)
whether caused by myself or someone else;
l) Exacerbation of macrovascular disorders, orthostatic hypotension after completing a lift and,
m) all manner of injuries and/or death that may result from transportation (all modes or types) used to and from Club Activities. Initials: _________
MEDICAL/HEALTH & TRAVEL INSURANCE
1.
I AM SOLELY RESPONSIBLE to select and purchase adequate medical/health insurance. No medical/health insurance will be provided by the
Club. In the event of a medical/health problem, the Club accepts no responsibility for any costs associated with a medical/health problem nor will
they pay for any medical/health expenses, which may be incurred by my membership and/or participation in the Club Activities.
2.
I AM SOLELY RESPONSIBLE to select and purchase adequate travel insurance when and if required. The Club will provide no travel
insurance. The travel insurance should provide cover against theft, personal accident, personal liability, repatriation and cancellation of tickets. The
Club accepts no responsibility for any costs associated with these types of problems nor will they pay for any expenses that maybe incurred by my
membership and/or participation relating to these areas.
I freely accept and assume all responsibility to provide myself with medical/health and travel insurance coverage.
Initials: _________
Note: Sport Clubs who are registered with the Faculty of Physical Education and Recreation are entitled to coverage provided under the Sports Accident
Insurance Policy. Signing of this document does not nullify coverage provided under this policy.
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of the Club allowing me membership and participation in the Club Activities, I agree:
1.
TO FOLLOW the Club’s constitution and bylaws and to further follow all the instructions and rules given by those responsible for or in charge of
any Club Activities while I am a member and/or participating in Club Activities. I understand and accept that the constitution, bylaws, instructions
and rules are in place to provide a safe environment for the entire membership;
2.
TO ASSUME AND ACCEPT ALL RISKS arising out of, associated with or related to my participating in the Club Activities
3.
TO RELEASE THE CLUB from any and all liability from any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer
as a result of my participation in the Club Activities due to any cause whatsoever, including breach of contract, or breach of any Statutory or Other
Duty of Care, including any Duty of Care Owed under the Occupiers’ Liability Act, RSA 1980 C. 0-3 on the part of the Club;
4.
TO HOLD HARMLESS AND INDEMNIFY THE CLUB:
a) from any and all liability for any damage to the personal property of, or personal injury to, any third party resulting from my participation in the
Club Activities;
b) for any cancellations, injury, loss, accident or delay occasioned by the proprietor, employee, or service of any hotel, hostel or other type of
accommodation used during the Club Activities.
c) from any and all claims, demands, actions and costs which might arise out of my participating in the Club Activities. Initials: _________
ALBERTA Freedom of Information and Protection of Privacy Act (FOIPP): By signing below, I consent to having the information in this
document collected by the Club. The personal information requested on this form is collected under the authority of the Universities Act and Section 33
(c) of the FOIPP Act. Certain personal information may be made available to federal and provincial government departments and agencies under
appropriate legislative authority. Personal information is protected under the Alberta FOIPP Act. For further information, contact Information and
Privacy Office at (780) 492-9419.
ACKNOWLEDGEMENT
1.
I will follow and abide by any and all risk assessments, health and safety regulations and instructions received prior to or during the above noted
Club Activities;
2. I acknowledge that students are subject to the University of Alberta’s Code of Student Behaviour and that I represent the University of Alberta. I,
therefore, agree to conduct myself accordingly at all times while on Club Activities and any free time.
3. In entering into this Agreement, I am not relying upon oral or written representations or statements made by the University of Alberta other than
what is set forth in this Agreement.
4. This agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, assigns and representatives in the event of my
death or incapacity.
I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT, that I appreciate and accept the Risks; that I am waiving
certain legal rights which I or my heirs, next of kin, executors, administrators and legal representatives may have against the University of Alberta; and I
executed this Agreement voluntarily.
SIGNED THIS _______________ day of _______________________________, _______, at Edmonton, Alberta.
DAY
MONTH
YEAR
_________________________________________________________
_______________________________________
Signature of Participant
Signature of Witness
__________________________________________
_______________________________________
Printed Name of Participant
Printed Name of Witness
This agreement must be completed in full (signed, dated, witnessed, and initialled where indicated) before any participant may begin Club
Activities.