Shake The Interlake Registration
Event: Shake The Interlake
Date: October 5th 2019
Address: 511 Robinson Ave, Selkirk
Tentative Schedule:
Weigh-In: 8AM
Lifting: 10AM

*There will be a 42-lifter cap for this event*

Sanctioned by: Manitoba Powerlifting Association as representatives of the Canadian Powerlifting Union and IPF.

Rules: Subject to IPF rules, WADA/CCES drug testing compliance
Technical rule book http://www.powerlifting-ipf.com/rules/technical-rules.html
CCES announcement http://powerlifting.ca/drug_cadp_elearning.html
Approved equipment http://www.powerlifting-ipf.com/rules/approved-list.html

Entry Fees:
$85 Powerlifting (3 lift)
$60 Bench Press Only

Meet fees can be submitted by e transfers.
E-Transfers will be sent to tpachal@live.com and set the password as "deadlift"


Entry Deadline: 2019 Sept 22 @ 2359hrs CST.

Meet Director:

Tom Pachal
204-485-6236
tpachal@live.com

Other important information
All entries are non-refundable & non-transferable
Bring printed CCES completion certificate, CPU card (printed or very easily accessed on your phone), and photo ID to present at weigh in / equipment check.
Coaching - limited to 1 coach/lifter in warm up areas
Drug Testing - this is a drug tested contest. Registration with the CPU requires accepting the drug testing policy in full during their membership. Competitors must remain in attendance for the duration of their session to comply with possible testing selection even if they cannot complete their lifts.

*****ATTENTION ALL LIFTERS - NO REFUNDS ON ENTRY FEES**

Last Name, First Name *
Common Name (If different)
Birthdate *
MM
/
DD
/
YYYY
Email *
Address (Street, city, province, postal code) *
Phone number *
Club Representing (Must be approved MPA Club)
CPU Card Number *
If you have never had a CPU Membership and don't plan to buy one until closer to the event, please enter "12345". Your CPU/MPA membership must be current on the contest date. You will be required to present your valid membership card and picture ID at the contest. If you do not have a valid membership card on the day of the contest, you will not be permitted to compete. If you do not have a picture ID you will be entered into the Open age class which may affect the qualifying total need to enter this competition. To purchase a membership >> http://www.powerlifting.ca/membership.html
Have you completed the Canadian Centre for Sport and Ethics module ***or annual review*** within a year of this event? *
The annual refresher must be completed within one year of this competition. Please see information and link at >> http://powerlifting.ca/drug_cadp_elearning.html
Event *
Lifting Category
Age Devision *
Weight Class *
Name of Coach/Handler
T Shirt Size *
Legal Release
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
I Understand That My Entry is Only Considered Active Once Entry Payment Has Been Submitted; That There are NO REFUNDS on entry fees. *
E-Transfers will be sent to tpachal@live.com and set the password as "deadlift"
Type full name here, considered a digital representation of your signature
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