THE UNIVERSITY OF ALBERTA POWERLIFTING ASSOCIATION AND THE ALBERTA POWERLIFTING UNION PRESENTS: THE 2013 POWER SURGE IV COMPETITION

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1 THE UNIVERSITY OF ALBERTA POWERLIFTING ASSOCIATION AND THE ALBERTA POWERLIFTING UNION PRESENTS: THE 2013 POWER SURGE IV COMPETITION DATE: Saturday, November 16 th, 2013 PLACE: University of Alberta Universiade Pavilion (Butterdome), Van Vliet Centre, Edmonton, AB, T6G 2H9 ENTRY FORM DISCOUNTED DEADLINE: Friday, October 4 th, 2013 ENTRY FORM HARD DEADLINE: Friday, November 1 st, 2013 LIFTER LIMIT: 14 Bench-Only and 48 3-Lift

2 SCHEDULE Saturday November 16th, 2013: Power Surge IV Equipment Check: 7:00 a.m. 7:30 a.m. Weigh-ins: 7:30a.m. 9:00 a.m. Lifting Begins: 9:30a.m. 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. REGISTER BEFORE OCTOBER 5 TH, 2013 AND YOU WILL RECEIVE AN $8 EARLY-BIRD DISCOUNT! FEE: Powerlifting - $70 Bench Press - $55 Both - $100 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

3 ***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: IPF Technical Rule Book IPF Approved Gear List IPF Classic Approved Gear List 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 and print the membership form and send to James Bartlett at the address found therein.

4 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: 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: Shane Martin (volunteer coordinator): mr.shane.c.martin@gmail.com, or text (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:

5 GETTING THERE: Transit: There are two LRT and multiple bus stops on the University of Alberta campus. For transit routes visit 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: WEBSITE: Follow us on Facebook! Like Alberta Powerlifting Union for updates! Union/ or MUSIC Powersurge IV will feature a live DJ to oversee the AV portion for Power Surge. He has offered to organize song choices for each attempt. You may have three songs played one during each attempt out of the three movements. ABSOLUTELY NO PROFANITY. We want to keep this event family friendly and

6 in accordance to the University of Alberta s policies. Please do not request music with vulgar or offensive language. INQUIRIES: Meet Director Shane Martin, mr.shane.c.martin@gmail.com **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:

7 ENTRY FORM NAME: ADDRESS: CITY: POSTAL CODE: PHONE: (mandatory): DATE OF BIRTH: SEX: (Please Circle) MALE FEMALE APU/CPU CARD NUMBER: AGE CLASS (Circle One): T-SHIRT SIZE (Circle): SUB-JUNIOR JUNIOR 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 120+ Kg (WOMEN) 43Kg 47Kg 52Kg 57Kg 63Kg 72Kg 84Kg 84+Kg TYPE OF LIFTING (Circle One): CLASSIC EQUIPPED MUSIC CHOICES FOR ATTEMPTS: Choice 1) Artist: Song: Start Time: Choice 2) Artist: Song: Start Time: Choice 3) Artist: Song: Start Time: The UAPA is pleased to announce that Athletic Alliance will be sponsoring Powersurge IV. They want you to have a free sample! Check this box to say: YES, I want to receive a complimentary sample pack from Athletic Alliance Sport Supplements. The UAPA can release my contact information to Athletic Alliance to send me my complimentary sample. EVENT (Circle): $70 Powerlifting (Classic or Equipped) Course Code $55 Bench Only (Classic or Equipped) Course Code $100 Both Events (Both Classic, Both Equipped, Bench-Only Classic/3-Lift Equipped, Bench-Only Equipped/3-Lift Classic) Course Code $25 Extra T-Shirt TOTAL AMOUNT ENCLOSED $

8 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 In Person Activity Registration Zone - Sales Office, Room W-79, Van Vliet Centre. Hours Monday to Friday from , Saturday By Phone Activity Registration Zone By Fax Fax 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)

9 UNIVERSITY OF ALBERTA POWERLIFTING CLUB REGISTRATION: Club Year - September 1, 2013 to August 31, 2014 AND RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT (MUST print this Section) WARNING! BY SIGNING THIS FORM YOU GIVE UP IMPORTANT LEGAL RIGHTS INCLUDING THE RIGHT TO SUE. PLEASE READ CAREFULLY! NAME OF PARTICIPANT: ADDRESS OF PARTICIPANT: CITY: PROV: POSTAL CODE: BIRTH DATE: STUDENT/STAFF ID: PHONE NO: EMERGENCY CONTACT: RELATIONSHIP: PHONE NO: SELECT ONE: UNDERGRADUATE STUDENT GRAD STUDENT STAFF/FACULTY ALUMNI NON-UNIVERSITY 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.

10 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) 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.