U.S. Team Application

U.S. Team Application

Selection will be made considering best competitive totals/Scores as indicated in the application form within the framework of the WDFPF Team constraints. Selection of U. S. Teams to be made by the ADFPF Board of Directors. Applicants will be notified of the selection process as early as possible.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*

FemaleMale
Weight Class*
Age category*
Division*

UnequippedEquipped
Championships you wish to compete in*

Single Event World ChampionshipsFull Power World Championships
If you chose Single Event Championships, select the events you wish to enter

SquatBench PressDeadlift
Drug Testing History (List dates and type of drug test)*
Ex: 10/12/2022 - Urinalysis
Have you been convicted of selling controlled substance? If so, explain the circumstances:*

Historic Overview of Powerlifting Competition sanctioned by the A.D.F.P.F. (Please complete the chart beginning with the most recent A.D.F.P.F. competitions progressing backwards up to 3 years) List all weights in KILOS*

	Date	Meet Title	Body Weight	Weight Class	Meet Squat	Meet Bench Press	Meet Deadlift	Meet Total
Most Recent Meet
Meet
Meet
Meet
Meet
Meet
Meet
Meet
Meet
Meet
Meet
Meet
Meet
Meet

Release from liability:

READ this CAREFULLY. When you sign it, you will be giving up important legal rights.

In consideration of the acceptance of my application form, I intend to be legally bound for not only myself but also for my heirs, my executors and my administrators. In signing this release from liability, I waive and release everyone connected with the ADFPF and with the WDFPF from any and all liability that may arise from competing in these organizations.

     I understand that powerlifting is an inherently hazardous activity and that participation in this sport exposes me to the risk of injury or death. I further understand that the ADFPF will NOT reimburse me for, or coverage of any medical expenses incurred by me as a result of injuries that I might sustain, working at, helping with, training for, traveling/from the venue, participating in the competition or as a.Spotter, Loader or a Bench Press Lift-off personnel.

     Moreover, I agree that any method of drug testing which the ADFPF, WDFPF and/or the meet directors and sponsors of sanctioned events use to detect the presence of strength-inducing substances SHALL BE CONCLUSIVE. That is, whether I believe the results of the tests are right or wrong, I agree that I have no right to challenge the results of the drug tests. I further agree to submit to any physical tests that may be necessary to complete the drug testing. Should I fail to pass the drug test, I agree to waive any claim that might arise under state/international law for defamation, slander, libel, or any other claim for which legal relief is available.

I agree to pay all attorney fees and litigation expenses incurred by any person, real or corporate, which I may sue in an effort to challenge this release from liability form. I understand that my agreement to pay attorney fees and litigation expenses in the sine qua non for the acceptance of my entry into these organizations.

     All ADFPF athletes, coaches, officials, referees, and platform personnel acknowledge and understand that they represent, and are seen as representing, the ADFPF, the WDFPF, their team, their state, their country, and the sport of powerlifting when training for, traveling to and from, and taking part in a competition or related activities. Accordingly, they agree that they will act responsibly and respectfully at all times and will obey all local laws, even if they are different from the laws they are subject to at home. They will also exhibit outstanding sportsmanship in keeping with the values, ideals, and spirit of drug free sport and will encourage others to do the same. It is understood that failure to adhere to these standards of conduct may result in discipline by the ADFPF and/or WDFPF, up to and including a suspension or ban from taking part in ADFPF and/or WDFPF events.
Signature*

Clear
Signature of parent/guardian if athlete is under 18 years of age

Clear
CERTIFICATION: I hereby give my word of honor as an athlete that I have not used any strength inducing drugs (i.e. Any anabolic steroid or natural hormones) as part of my training during the past 60 months (5 years) nor will I use any prohibited stimulants or diuretics in the seven days prior to participation in any ADFPA or WDFPF sanctioned contest. Furthermore, I have full knowledge of the substances banned by the ADFPF/WDFPF.
Signature of applicant*

Clear
Sworn Statement: I hereby give my word of honor as an athlete that all the information included on this application form is correct. I understand that being dishonest in completing this ADFPF application form will be grounds for cancellation of my ADFPF membership without reimbursement of membership dues.
Signature of applicant*

Clear
Note: The ADFPF pays the WDFPF Dues for each U.S. Team member; travel, meet entry fees, U.S Team Uniform, etc. to be paid by each athlete. Team members may want to seek sponsorship.
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