Online APA Membership Application Form - To be used only with electronic payment

Prior to submitting this form, please read the waiver below.

In consideration of my acceptance as a member of the APA I hereby release the American Powerlifting Association (APA), Scott Taylor, all APA meet directors and contest staff from any responsibility or liability for any injury or personal loss to myself resulting from participation in any APA competition. I acknowledge that I realize there is a high risk of injury in the sport of powerlifting . I accept this risk. I am aware that I will be solely responsible for the condition and safety of my personal lifting gear, bench press shirts, powerlifting suits, wraps and all equipment worn when participating in APA events. I agree to hold the APA, it's meet directors and contest staff members free of liability for any unintentional injury or damages suffered by me. I will be the sole decider on the amount of weight I attempt to lift at all competitions and will not make attempts that I know are beyond my limitations and a reasonable and prudent amount. I have read and understand the terms this membership agreement contract and by submitting my application electronically am agreeing to it's terms.

What is your name?

What is your street or PO Box mailing address?

City?

State?

Zip or Postal Code?

Are you a certified referee with any powerlifting org (which org)?

Please sign your name below. By signing this document, you agree to the terms and conditions and attest that you have read and understand the waiver and release below. All forms must be signed, prior to activating membership. If under the age of 18, parent signature required.

Name (digital signature agree to the above)

E-mail address

In consideration of being permitted to participate in Powerlifting competitions sanctioned by the American Powerlifting Association, I here by release Scott Taylor, the American Powerlifting Association, all APA meet directors, their assistants and/or employees and all persons associated there with or rendering service thereto from any responsibility or liability for any injury or personal loss to myself, including those caused by the negligent act or omission arising out of or connected with my participation in APA Powerlifting competitions or the use of any equipment at the Powerlifting competitions.

In signing this Release form, I acknowledge and represent the following:

1. Powerlifting is a strenuous athletic event. As a sport, accidents can and do happen periodically as a result of the normal danger involved.

2. There is a risk of participation. Lifter recognizes this risk and accepts it. Lifter shall have the duty to examine all equipment prior to use and immediately inform the proper people of any dangerous condition observed with the equipment, personnel or event venue. The lifter has sole responsibility for the condition of his personal lifting gear i.e. bench press shirts, lifting suits, belts, wraps and other lifting gear and it is the responsibility of the lifter to wear such gear in a manner that is safe and least likely to result in injury. The American Powerlifting Association and its meet directors and employees are not responsible for lifting gear blowouts, tears or any defects in lifting gear.

3. I am in excellent health and capable of performing the feats of strength attempted.

4. I am the sole decider of the amount of weight to be lifted. Lifter will act in a reasonable manner at all times and not lift weights beyond a safe and prudent level.

5. I have the right to bring my own spotters and assistants. If I do not do so, I may use such spotters as provided by the meet director, solely as a courtesy to Lifter.

6. Neither the APA nor any subdivision thereof, nor any agent, servant or employee of the APA nor any other competitor shall be liable to me for any harm or damage to me, unless such harm is the result of the intentional or reckless conduct of such person, which conduct shall not be imputed to any other person or organization. No action of negligent entrustment shall exist.

7. I will be responsible for my behavior and acts and those of my guests. If I do not act in accord with the rules of the APA for competition or behavior, I may be asked to leave the event immediately by an event director and will do so voluntarily and shall forfeit all fees paid to the meet director. In the event litigations shall occur, I shall be responsible for payment of reasonable attorney fees of the prevailing party.

8. This Release is reasonable, executed freely, without duress and undue influence and after opportunity for careful and independent review.