Montreal Barbell The PR GYM

_{WORLD POWERLIFTING CONGRESS (WPC) AFFILIATE}

2011 CANADIAN NATIONALS & PRO/AM

Lifter Entry Form – due date May 20, 2011

Saturday & Sunday June 4, 5, 2011

 

Montreal Barbell, 289b Boul Harwood, Vaudreuil-Dorion, Quebec, Canada www.montrealbarbell.com

Weigh in at meet site:  Friday June 3, 9AM – 9PM & Saturday June 4, 7AM – 8AM

Weigh in at meet site:  Friday June 3, 4PM – 9PM & Saturday June 4, 2PM – 3PM

Weigh in at meet site:  Saturday June 4, 10AM – 9PM & Sunday June 5, 7:30AM – 8AM

 

Meet Director: Ross Saldan (450) 424-7220 in Canada or (941) 544 0781 in U.S. Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Information at: Montrealbarbell.com

Meet Entry Forms and Fees:

AMATEUR - Adults – Full Power - $100; Bench - $75; Teens - $60. 2^nd Category +$35.

PROFESSIONALS – Full Power - $125; Bench - $100.   2^nd Category $50

NOTE - Entries posted after May 20 – may be accepted only if there is space available - please add $35.

 

Make check payable to: Ross Saldan.

Mail entry and check to Ross Saldan, 241 Rue Melville, Vaudreuil-Dorion, Quebec, Canada J7V 2B8

Number of competitors may be limited.

 

Lifter Information:

Name: ___________________________ Age: _____ Birth Date: __________ E-Mail:______________________

Address: _________________________________City: ___________________________

Province / State : _____Postal / Zip Code: ___________

Home:(____)______________Work:(____)______________Cell:(____)_______________

T-shirt size: (please circle your size)     4x, 3x, 2x, xL, L, M, S

 

DIVISIONS (Men & Women) Please circle your age and weight categories and Equpped/raw below:

 

AMATEUR OR PRO:

PRO – ALL PRO LIFTERS (Saturday 4PM ONLY)

AMATEUR 1 – All women; men and teens up to and including 82.5KG

AMATEUR 2 – Men and teens 90KG +

Teenage: 14-15, 16-17, 18-19; Junior: 20-23; Open: 24 and older; Sub master: 33-39

Master: 40-44, 45-49, 50-54, 55-59, 60-64, 65-69, 70-74, 75-79, 80+

Weight Classes (kg): Men: 52, 56, 60, 67.5, 75, 82.5, 90, 100, 110, 125, 140, 140+

Women: 48, 52, 56, 60, 67.5, 75, 82.5, 90, 90+

You are planning on lifting:     Equipped     Raw

EQUIPMENT MUST MEET CPF, WPC, APF SPECIFICATIONS. ONE PIECE LIFTING SUIT MUST BE WORN.

 

Please note that according to CPF rules, lifting with knee wraps is considered lifting equipped. And, the CPF executive

has recently passed a new rule saying that if you lift in one lift equipped that all your lifts now will be considered equipped.

You no longer have the option of lifting equipped in one lift, i.e. the squat and then lifting raw in the bench.

Amateur Awards will be given for 1^st, 2^nd, and 3^rd places for all weight and age divisions.

 

Pro Cash award will be $5,000, distributed as outlined at the website Montrealbarbell.com

RELEASE FROM LIABILITY

In consideration of the acceptance of my entry form in this power lifting competition, I intend to be legally bound for not only

myself, but also for my heirs, executors and administrators. In signing this release from liability, I wave and release any

and all rights or claims for damages I may have against the CPO, the WPC, the organizers, volunteers or the sponsors of

this contest.

 

Signature___________________________________________________Date___________________

 

Parents (if under 21 years) ___________________________________________________________