1939 spots left
Joining Powerlifting Australia is completely online, with payment by credit card only. Memberships are for the calendar year (subject to the PA Constitution & Regulations). Fill out the form below to join PA for 2017!
All enquiries to Jason Pan on email@example.com
POWERLIFTING AUSTRALIA LTD
ACN 121 872 759
2017 Membership Application Form
Membership Type Information
By acknowledging my agreement to this form I agree to be bound by and comply with the terms of the Constitution & Regulations of Powerlifting Australia Ltd, including but not limited to the Powerlifting Australia Anti-Doping Policy (as amended from time to time). I understand that failure to provide information requested on this form may result in my membership application being rejected, or until such information is provided, prevented from setting National Records or competing in National and International competitions. I acknowledge that sanctions may apply if I do not notify Powerlifting Australia Ltd of any changes to my contact information. As an athlete I agree to comply with the Australian Sports Anti-Doping Authority (ASADA) Act and Regulations which includes submitting to drug testing by ASADA or any other Agency nominated by the Australian Sports Commission.
I acknowledge that the above information will be stored on paper and electronically in the Powerlifting Australia Ltd Membership Register and that any information may be provided to relevant branches, ASADA, Directors of Powerlifting Australia Ltd and other bodies or parties as necessary for participation and the maintenance of my membership to Powerlifting Australia Ltd. Information will not be disclosed to any other person or party without my written permission. I may gain access to my information by contacting the Chief Executive Officer (CEO). Information supplied to Powerlifting Australia Ltd is kept in a secure location.
A. Drug Testing and Whereabouts
B. Taking Medications – Therapeutic Use Exemption (TUE)