INSERT CLUB LOGO
The XXXXX Weightlifting Club Presents:
The XXXXXXXXX Weightlifting Championships
Day, Month, Date, Year
Location: Venue Location
City / Town
Time: Weigh –in for the first session will begin at XX:XX AM
Lifting begins at XX:XX AM
Start List and session times will be posted on OWA website by Date.
Eligibility: (insert if Open Competition) Participants must be members in good standing of
a Provincial or Territorial Association of the Canadian Weightlifting Federation
or members in good standing of a National Federation affiliated with the
International Weightlifting Federation (e.g. USA Weightlifting).
(insert if OWA membership only) Participants must be members in good
standing of the Ontario Weightlifting Association
(insert appropriate age group; if Open, all ages can compete, if Junior, only
Youth and Junior can compete, etc) Participation is open to athletes of Youth,
Junior, Senior or Masters age groups.
(insert if competition is subject to doping control) The competition is subject to
Sanctioned: (insert if Sanction form & fee has been paid to OWA) By the Ontario
Awards: (insert correct medals & awards presented) Medals will be awarded to 1st, 2nd
and 3rd place in each weight category.
Awards will also be given to Best Male and Best Female Lifter.
Entry Fee: $XX per athlete. Cheques payable to: XXXXXXXXX
Deadline: Entries must be received by Date. (insert late fee charge if applicable)
Forms received after Date are required to pay a $XX entry fee. Forms
will NOT be accepted after Date.
(insert if competition has limited space, eg: only 60 lifters can compete)
NOTE: This is a capped competition; forms submitted before the deadline
are NOT automatically guaranteed a spot.
XXXXXXXXX Weightlifting Championships – Entry Form
GENDER: ___________________________ WEIGHT CATEGORY: _______________________
DATE OF BIRTH: Day _____/ Month _____/ Year _____ CLUB/TEAM: _______________________
OWA MEMBERSHIP #_____________________ COACH:_______________________________
MAILING ADDRESS: __________________________________________________________________
PHONE: __________________________ _______EMAIL: _____________________________________
In consideration of your acceptance of this entry. I hereby intend to be legally bound for
myself, my heirs, executors or administrators. I waive and release any and all rights
and claims for damages I may have against: the Ontario Weightlifting Association,
XXXXXXXXX Weightlifting Club or Venue Name, the Directors, Representatives, and
Successors, and/or Assigns and Sponsors of this competition, for any and all injuries
suffered by me at the said competition.
SIGNATURE OF PARENT OR GUARDIAN:___________________________________
( if athlete is under 18 years of age)
REGISTRATION: Mail Entry Form & Fee to:
Attention: XXXX XXXXXXX
City/Town, ON Postal Code