• Powerlifting America

    Special Membership Application
  • You will receive two confirmation emails. The first one will not have a membership number the second one will because they have to be added by hand for these memberships. Please keep your 2nd email as proof of membership. 

    All fields are required for membership except as marked.
    We collect this information for internal use and for anti-doping compliance with the following organizations:

    • International Powerlifting Federation (IPF)
    • United States Anti-Doping Agency (USADA)
    • Canadian Center For Ethics in Sport (CCES), which is contracted by the IPF to oversee drug testing globally
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  • Contact information will be used for out-of-meet drug testing of athletes.


    Please keep your contact information accurate and up-to-date.

    EMAIL ADDRESS

    • Your membership card will be sent to this address.
    • Powerlifting America may contact you at this address.
    • This email address will serve as your username for logging into the membership section of the Powerlifting America website.
  • Assumption of Risk, Release and Waiver of Liability and Indemnity Agreement, Media Release


    In consideration for being permitted to participate in Powerlifting America INC. ("PA") events and programs ("Event") as a competitor, referee, coach, meet director or any other support staff ("Participant") as directed by the relevant staff, the undersigned, for themselves, and for their respective heirs, personal representatives and assigns, agree as follows:

    Assumption of Risk: The undersigned hereby acknowledge and agree that they understand the nature of the Event; that Participant is qualified, in good health, and in proper physical condition to participate therein; that there are certain inherent risks and dangers associated with the Event; and that, except as expressly set forth herein, they, knowingly and voluntarily, accept, and assume responsibility for, each of these risks and dangers, and all other risks and dangers that could arise out of, or occur during, Participant’s participation in the Event.

    Release and Waiver: The undersigned hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE PA and its member institutions, or any subdivision thereof, and each of them, their officers and employees, (collectively, the “Releasees”), from and for any liability resulting from any personal injury, accident or illness (including death), and/or property loss, however caused, arising from, or in any way related to, Participant’s participation in the Event, except for those caused by the willful misconduct, gross negligence or intentional torts of the above parties, as applicable.

    Indemnification and Hold Harmless: The undersigned also hereby agree to INDEMNIFY, DEFEND AND HOLD the Releasees HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities including, but not limited to, attorney’s fees, arising from, or in any way related to, Participant’s participation in the Event, except for those arising out of the willful misconduct, gross negligence or intentional torts of the above parties, as applicable.

    Media Release: The undersigned consent to photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for social media, news, webcasts, promotional purposes, telecasts, advertising, inclusion on websites, or any other purpose by PA and its affiliates and representatives. Images, photos and/or videos may be used to promote similar PA events in the future, highlight the Event and exhibit the capabilities of PA and its affiliates and representatives. The undersigned release PA, its officers and employees, and each and all persons involved from any liability connected with the taking, recording, digitizing, or publication and use of interviews, photographs, computer images, video and/or sound recordings. The undersigned waive all rights to any claims for payment or royalties in connection with any use, exhibition, streaming, webcasting, televising, or other publication of these materials, regardless of the purpose or sponsoring of such use, exhibiting, broadcasting, webcasting, or other publication irrespective of whether a fee for admission or sponsorship is charged. The undersigned also waive any right to inspect or approve any photo, video, or audio recording taken by PA or the person or entity designated to do so by PA.

    Permission to Use Likeness/Name: The undersigned further agree to allow, without compensation, Participant’s likeness and/or name to appear, and to otherwise be used, in material, regardless of media form, promoting PA, and/or its championships, events and activities, including those of its representatives and licensees.

    Severability: The undersigned expressly agree that the foregoing assumption of risk, release and waiver of liability and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the United States of America and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

    Acknowledgment of Understanding: The undersigned have read this assumption of risk, release and waiver of liability and indemnity agreement, and have had the opportunity to ask questions about the same. The undersigned fully understand this assumption of risk, release and waiver of liability and indemnity agreement, that the undersigned are giving up substantial rights in connection therewith, and that its terms are contractual, and not a mere recital. The undersigned acknowledge that they are signing this agreement freely and voluntarily.

  • Anti-Doping Release


    I acknowledge, fully understand, and agree to the Powerlifting America, the International Powerlifting Federation, United States Anti-Doping Agency, and World Anti-Doping Agency guidelines for drug testing. Additionally, I agree that my personal information, upon their request, will be shared with each of these agencies for drug testing purposes.

    I waive any and all claims against Powerlifting America, the International Powerlifting Federation, the United States Anti-Doping Agency, and World Anti-Doping Agency for any adverse analytical finding for either an in competition test or out of competition test.

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