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USPA Membership Application

Welcome to the USPA Membership purchase page!

Please read the following carefully: If you purchased a membership between today's date in 2021 and June 8, 2022, you may already have a membership account. You will need to submit a "lost password" request for your account here: uspa.net/login. Make sure that you're entering the same email used to purchase your membership and check your spam folder. If you do not receive a password reset link, you will need to purchase a new membership.

Payment must be made immediately or your membership purchase form will be discarded. Memberships are valid for one year from the date of purchase. Subsctiptions are set to auto-renew every year. You may opt out of auto-renewal at any point.

The pricing for USPA memberships are as follows and is subject to change:

USPA Adult (18+): $70 USD per year

USPA Youth (13-17): $35 USD per year

USPA Special Olympics: $35 USD per year

Membership Cancellation/Refund Policy: Membership purchase is non-refundable after 72 hours from the original purchase date and time. No exceptions. Refund requests must be submitted to [email protected]

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USPA Member - Information

Name(Required)
First Last

Suffix

Date Of Birth(Required)
MM slash DD slash YYYY

Gender(Required)

Email(Required)
Enter Email Confirm Email

Phone(Required)

Address(Required)
Street Address City State / Province / Region ZIP / Postal Code Country

Current Referee Status(Required)
None
State
National
International
Staff

Is this entry form on behalf of a minor?(Required)
No
Yes

Username(Required)

Password
Enter Password Confirm Password

USPA Member - Release of Liability

In consideration of becoming a member of the United States Powerlifting Association (USPA), and/or participating in any and all events sanctioned by the USPA, regardless of location, I acknowledge, understand, appreciate, and agree to the following:

1. The risk of injury from the activities involved in this program is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce the risk, the risk of serious injury does exist, and

2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releasees or others, and assume full responsibility for my participation, and

3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence of participation, I will remove myself from participation and bring such to the attention of the USPA officials immediately, and

4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless any meet director/promoter, the USPA and their parent companies, subsidiaries, officers, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and the owners and/or lessors of the premises used for the activity (“Releasees”), with respect to any and all injury arising, disability, death or damage to any person or property, whether arising from the negligence of the Releasees or otherwise, to the fullest extent permitted by law.

I have read this agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

I understand and acknowledge that purchase of this membership is non-refundable after 72 hours from original purchase date and time. No exceptions! Refund requests must be submitted at the following link: http://www.uspa.net/contact

Signature (18+)(Required)

Date(Required)
MM slash DD slash YYYY

Age Of Lifter(Required)

USPA Member - Release Of Liability For Minor

PARTICIPANT'S SIGNATURE FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child's involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.

I understand and acknowledge that purchase of this membership is non-refundable after 72 hours from original purchase date and time. No exceptions! Refund requests must be submitted at the following link: http://www.uspa.net/contact.html

Name
First Last

Become One Of Us

USPA Membership Application

USPA Member - Information

USPA Member - Release of Liability

USPA Member - Release Of Liability For Minor

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