BRITISH POWERLIFTING UNION
East Midlands & South Yorkshire Qualifiers for the European Championships 2018 and British Championships 2018
31 March & 1 April 2018
Start time: 9am both days
Venue: IAG Gym, 175 Effingham St, Rotherham S65 1BL
Entries will close as soon as the places are filled
£30.00 per entry - £50 for 2 categories. Please tick
Full Power…….. Bench Only……… Deadlift Only……...
RAW……… CLASSIC RAW (with Knee Wraps)……… Multi Ply..…….Single Ply ………..
Teen………… Junior……… Open ………. Master…………
Saturday 31: All women’s classes, all men’s teens and juniors AND men’s open and masters up to and including 82.5kg
Sunday 1: all men open and masters from 90kg and upwards
All competitors please complete this section
Please note: You MUST complete all fields, otherwise the entry will not be accepted
ABPU or BPU? ………………………………………………………………….
First name: ………………………………………………………………….
Surname ………………………………………………………………….
Address ………………………………………………………………….
………………………………………………………………….
POSTCODE ………………………. PHONE NO: …………….……….
MEMBERSHIP NO: BPU……………………………ABPU...................... (please tick which you are entering and include your 2017/18 membership number – if no number yet, the date you paid. YOU MUST HAVE A CURRENT 2018 MEMBERSHIP NUMBER WHEN YOU COMPETE)
D.O.B ………………… AGE ON DATE OF COMP: ………………
Email Address …………………………………………………………………
Method of payment: Bank Transfer:…………….. Paypal:……………..Cheque……………
ALL COMPETITORS PLEASE COMPLETE
BODYWEIGHT (Please circle bodyweight class)
Men 52 56 60 67.5 75 82.5 90 100 110 125 140 140+
Women 44 48 52 56 60 67.5 75 82.5 90 90+
Payment: How to pay for your entry
First, you MUST be a member of the federation, otherwise your entry is null and void. If you have taken membership but not received your number yet, please state “applied for” – DO NOT leave it blank.
Payment for the competition is being made directly to the promoter. You can pay the following way:
Paypal: (please remember to make payment through the friends and family route, otherwise the promoter will be charged fees)
Bank Transfer:
Account Num 51285815
Sort code 40-47-72
+++Please ENSURE you put your name as a reference when making payment +++
I hereby agree to enter this competition on the following terms:
1/ In consideration of the acceptance of this entry thereby for myself, my heirs, executors, and administrators waive and release any and all claims and damages I may have against the BPU, the organisers, Venue owners, their representatives, successors, and assigns for any and all injuries or bodily harm that I may suffer while competing at the BPU & ABPU East Midlands and South Yorkshire Regional Qualifier. I attest and verify that I have full knowledge of the risks involved with my participation in this event, and that to the best of my knowledge I am physically fit and able to participate in this event.
2/ That I know of no reason why I should not take part on the grounds of ill health,
3/ I have paid my entry fee of (£30.00) (£50.00)
to paypal or bank, which I understand is non-refundable, Tick appropriate fee above.
4/ Entry form and fee to be sent by post to:
British Powerlifting Union, c/o 22 Ivy Cottages, Meadow Lane, Denton, Manchester, M34 7PZ OR
5/ Please note that entries will close as soon as all the places are filled. There are 40 places available per day.
5/ Please email all entries unless postal to
Signature : ……………………………….. Date : …………………..
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I am the Parent / Guardian of ………………named above who is under 18 years of age and I confirm acceptance of the above terms on his/her behalf
Signature : …………………… Print Name : …………………………