2025 Alberta Powerlifting Provincials Registration Form

2025 Alberta Powerlifting Union Provincials Registration Form
Meet Directors: Samantha Fung, Byrin Wylie, Carlie Hornsby, and Ezeiel Amponsah

Contact: apuprovincials2025@gmail.com

Website: www.apuprovincials.com

Instagram: @apuprovincials2025
June 12 - 15, 2025

Saville Community Sports Centre

11610 - 65 Avenue, Edmonton, AB, T6G 2E1
Registration Opens: March 1, 2025 at 7:00pm MST

Registration Closes: April 19, 2025 at 11:59pm MST

**NO LATE ENTRIES ACCEPTED**

**In order to qualify for the Alberta Powerlifting Union (APU) Provincial Championships, athletes MUST achieve the provincial qualifying standards found on the APU Website from a previous competition. First time lifters that have not competed before are not permitted to participate.**

Open to all divisions and weight classes

Youth 1, 2, and 3
Sub-Junior, Junior, Open, Master 1-4
Para Powerlifting
Special Olympics

**No Lifter Cap on the number of registrations**

Registration Fees:
- 3-Lift -- $190.00
- Bench Only -- $150.00
- 3-Lift and Bench Only Combo -- $220.00
- Youth -- $110.00
- Para Powerlifting -- $150.00
- Special Olympics -- $150.00
Cost includes Entry Fee, Doping Control Fee and T-Shirt

E-TRANSFERS CAN BE SENT TO APUPROVINCIALS2025@GMAIL.COM

**Please type in the memo who the registration fee is for**

Refunds will be given upon approval by meet directors with the following schedule:
- Withdrawal before registration deadline of April 19, 2025 - 100% Refund
- Withdrawal between April 20, 2025 and May 1, 2025 - 50% Refund
- Withdrawal after May 1, 2025 - No Refunds

Name (Legal)*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*

MonthDayYear
Date
Email*
example@example.com

CPU Membership Number (must be current and valid, not expired upon registration)*
Upload Copy of CPU Membership Card (copy of the email receipt will not be accepted)*

Cancelof

Name of Meet where Provincial QT was met:*
Qualifying Total Achieved in KG:*
Date of Meet:*

MonthDayYear
Date
Age and Weight Class in KG that the QT was achieved in:*
Have you competed under a different name? (i.e. a nickname, or other names besides your legal name)*

I acknowledge that I must present a valid APU/CPU membership card and valid certificate of completion of the CCES True Sport Clean course in order to compete. I also acknowlege that 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.
I acknowledge the above statement
If an athlete is not present at the award ceremony to receive their medal or contest material, someone else may pick it up for them. The athlete’s total, records, and placing will still be valid; however, the APU and Meet Directors are not responsible for mailing or delivering medals or contest material after the closing of the competition.
I acknowledge the above statement
In consideration of accepting this entry, I hereby for myself, heirs, executors and administrators, waive and release any and all rights and claims for damages I may have against: the International Powerlifting Federation, the Canadian Powerlifting Union, the Alberta Powerlifting Union and Executive, Saville Community Sport Centre, its employees, all organizers, 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 realize that Powerlifting is a high risk sport and that I could be injured. I certify that I am in good physical health and that I have no serious health problems and that I assume full responsibility for such conditions. I accept that I am fully responsible for my well being and safety in the warm up room, on the lifting platform and while I am competing at this event. I am also aware that I am responsible for the actions of any coach and entourage that attend this contest in my support. I also certify by my acceptance that I have read this waiver and fully understand and accept its terms. do hereby verify my acceptance of these terms by my clicking the checkbox below:
I accept the above terms
If under 18, Parent or Guardian Name:

First NameLast Name
If under 18, Parent or Guardian Email:
example@example.com
Signature (Parent or Guardian if under 18)*

Clear

E-TRANSFERS CAN BE SENT TO APUPROVINCIALS2025@GMAIL.COM

Please remember to hit the submit button below!

Registration Fees:
- 3-Lift -- $190.00
- Bench Only -- $150.00
- 3-Lift and Bench Only Combo -- $220.00
- Youth -- $110.00
- Para Powerlifting -- $150.00
- Special Olympics -- $150.00
**First time lifters that have not competed before are not permitted to participate. You MUST have achieve a qualifying total from a previous competition.**

**Please type in the memo who the registration fee is for**

**Registrations will be confirmed in 24 to 48 hours once payment has been received and qualifying totals have been confirmed**
Should be Empty:

2025 Alberta Powerlifting Union Provincials Registration Form

Meet Directors: Samantha Fung, Byrin Wylie, Carlie Hornsby, and Ezeiel Amponsah

Contact: apuprovincials2025@gmail.com

Website: www.apuprovincials.com

Instagram: @apuprovincials2025

June 12 - 15, 2025

Saville Community Sports Centre

11610 - 65 Avenue, Edmonton, AB, T6G 2E1

Registration Opens: March 1, 2025 at 7:00pm MST

Registration Closes: April 19, 2025 at 11:59pm MST

**NO LATE ENTRIES ACCEPTED**

**In order to qualify for the Alberta Powerlifting Union (APU) Provincial Championships, athletes MUST achieve the provincial qualifying standards found on the APU Website from a previous competition. First time lifters that have not competed before are not permitted to participate.**

Registration Fees:

3-Lift -- $190.00

Bench Only -- $150.00

3-Lift and Bench Only Combo -- $220.00

Youth -- $110.00

Para Powerlifting -- $150.00

Special Olympics -- $150.00

Cost includes Entry Fee, Doping Control Fee and T-Shirt

E-TRANSFERS CAN BE SENT TO APUPROVINCIALS2025@GMAIL.COM

**Please type in the memo who the registration fee is for**

Refunds will be given upon approval by meet directors with the following schedule:

Withdrawal before registration deadline of April 19, 2025 - 100% Refund

Withdrawal between April 20, 2025 and May 1, 2025 - 50% Refund

Withdrawal after May 1, 2025 - No Refunds

E-TRANSFERS CAN BE SENT TO APUPROVINCIALS2025@GMAIL.COM

Registration Fees:

3-Lift -- $190.00

Bench Only -- $150.00

3-Lift and Bench Only Combo -- $220.00

Youth -- $110.00

Para Powerlifting -- $150.00

Special Olympics -- $150.00

**First time lifters that have not competed before are not permitted to participate. You MUST have achieve a qualifying total from a previous competition.**

**Please type in the memo who the registration fee is for**

**Registrations will be confirmed in 24 to 48 hours once payment has been received and qualifying totals have been confirmed**

NO LATE ENTRIES ACCEPTED

In order to qualify for the Alberta Powerlifting Union (APU) Provincial Championships, athletes MUST achieve the provincial qualifying standards found on the APU Website from a previous competition. First time lifters that have not competed before are not permitted to participate.

Please type in the memo who the registration fee is for

First time lifters that have not competed before are not permitted to participate. You MUST have achieve a qualifying total from a previous competition.

Please type in the memo who the registration fee is for

Registrations will be confirmed in 24 to 48 hours once payment has been received and qualifying totals have been confirmed