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Ilmoem2013 lomakkeet

ATHLETE’s STATEMENT TO COMPETE
Please enter me in the European Masters Weightlifting Championships to be held on 18th May – 25th May 2013 at
Kusadasi, Turkey
. I certify that I am an amateur in good standing. In consideration of my entry in the competition, I do
hereby waive, and release the 2013 European Masters Weightlifting Championships Organiser (hereafter referred to as
the “Organiser”), the European Masters Commttee.(hereafter referred to as the EMC), their directors, and associated
personnel from any and all causes of action, loss, liability, claims, and demands of every kind and nature whch I or my
heirs or personal representatives may have for bodily injury and expenses of medical treatment.
I agree to be filmed and photographed under conditions approved and authorised by the Organiser and EMC to include
the use of my name, biographical information, public appearances, interviews, photographs, portrait and motion pictures
and television recordings of my weightlifting performances, and grant to the Organiser and the EMC. the right to record
and make use of the same, and to authorise others to do so in promoting the competition and the success of the
weightlifting team on which I compete, to promote the image of the Organiser and the EMC., their sponsors and
advertisers, and the sport of amateur weightlifting, and to fund the activities of the Organiser and EMC.
I agree that the Organiser, the EMC and their agents, including competition personnel, may make judgements (with
appropriate input from available medical personnel), as to my treatment, hospitalisation, or other medical care in the
event of my illness or accidental injury in connection with my participation in the competition should I be disabled or
incompetent to make necessary and appropriate decisions concerning such treatment, hospitalisation, or other care.
I authorise the Organiser, the EMC, their agents and competition personnel to make decisions for me as though they
stood in a relationship to me of parent, guardian, or next of kin should circumstances require the Organiser, the EMC,
their agents and competition personnel to make judgements, and my next of kin cannot be timely and conveniently
contacted to participate in the making of such judgements. I hereby release and agree to hold the Organiser, the EMC,
their agents and competition personnel harmless for all expenses, causes of action, liability, claims, and demands arising
from good faith judgements made by the Organiser, the EMC, their agents and competition personnel concerning my
treatment, hospitalisation, and medical care in the event of my illness, injury, and other emergency circumstances in
connection with the competition.
I agree that I will be financially responsible for treatment and other medical care rendered me in the event of my
illness, injury, or other emergent circumstances in connection with the competition, execept to the extent of my
injuries, and medical expenses, if any, are covered by accidental death, dismemberment and/or loss of sight and
medical reimbursement insurance policies, maintained by the Organiser for my benefit, in which event I will
nevertheless continue to be financially responsible for expenses of treatment, hospitalisation, and other medical
care in excess of such policies’ limits.
Further, I declare that I agree to the contents of the current IWF MASTERS RULEBOOK, especially to ALL IWF and
WADA Anti Doping Policies. (DRUG TESTING WILL BE DONE AT ALL EUROPEAN MASTERS
WEIGHTLIFTING CHAMPIONSHIPS AND MAY BE IN COMPETITION OR OUT OF COMPETITION)
I agree to be bound by the Masters rules and declare that I am physically fit to undertake the
sport of weightlifting and have no knowledge of any medical condition which will make
weightlifting contra-indicated to my well being.
I accept all such conditions :-

Name _________________________ Signature _________________________
Date _______________
1. Qualifying standards must be met and approved with all other details on this form.
2. All fees must be paid in EUROS.
3. Please return this entry form with the correct fees to your National Masters Chairman at least one month
4. Entry forms not processed and certified by your National Masters Chairman will be returned.
5. Drug testing will be strictly enforced. Anyone using performance enhancing drugs is not welcome
at this championship.
COMPETITOR’S PERSONAL DETAILS :-
(PLEASE PRINT)
Nation (country by passport) ________________________________________

Last (family) Name ________________________________________
First (given) Name(s)
________________________________________ ________________________________________
City/Town ____________________ Country ____________________
Postal code ______________
Telephone (H) ____________________ (B) ____________________
Date of Birth – Day ____ Month ____ Year ____
Age (at 31st December 2013) _____
AGE GROUP ______
BODY WEIGHT CATEGORY ______ kg

Best total between 10th June 2012 and 1st March 2013 ________ kg

Male __________
Female __________

Qualifying total for my age group and body weight category __________ kg
Referee Status - IWF CAT 1 ( ) IWF CAT II ( )
Travel/health Insurance is mandatory.
The above competitor’s details are certified by -
National Chairman ________________________________________
Signature
______________________________ Date _______________ ************
Financial Statement for this Competitor
Entry Fee
Closing Banquet
€ 25,- per person
Total Fees
Competitor’s signature ______________________________
FOR THE ATTENTION OF ALL ATHLETES
*** IMPORTANT ***
Specific information on anti doping – please read and be aware !
x Do not mail your TUE Form with your entry, it is your personal document, you will
only need it if you are selected to attend doping control at the championship.
x Only you are responsible for any item of food or medication you put into your mouth.
x The European Masters Committee (the EMC) will conduct doping control at every European
Masters Weightlifting Championship. Anyone using banned substances will eventually, at one time or another, find that they are selected for testing. x It is possible to find the list of banned substances from your own Federation or from the IWF or WADA (World Anti Doping Agency) websites. x At all European Masters Championships the EMC intends to run educational seminars to help athletes and to enable them to understand that if they are taking prescribed medication they can still test positive. The seminars are designed to help athletes taking prescribed medicine, but we urge all athletes to attend at least one seminar. x Athletes selected for doping control must declare every item of medication, vitamin, or
supplement, e.g. aspirin, paracetamol, creatin, and all prescribed or non prescribed medication. Failure to do so might be disdadvantageous if the athlete gives an “adverse finding”. x At this moment in time many Master athletes must take medication for their well being and it is recognised that everyone has the right to be ill and take medication for the care of, and to cure sickness. x The medication causing most problems is the medication used for the treatment of stress and high blood pressure. These medicines come under a variety of names and are mostly
diuretics and therefore mostly on the banned list.
x If you are being prescribed this medicine (and others) by your doctor and your doctor will not prescribe an alternative medicine that is not on the banned list then you must complete
an IWF Masters TUE. You should also have a medical certificate completed and signed by
your doctor in English. A TUE is a Therapeutic Use Exemption form which enables your
doctor to enter the details of the prescribed medicine and for him to sign it and date it. It can
be found with this entry form or you will be able to get one from the current Championship
Organising Committee.
x You must bring the completed IWF Masters TUE form and medical certificate with you to all championships just in case you are selected for testing. These will be used for verification purposes should you give an “adverse analytical finding” if tested. x It is not necessary to complete a TUE form if you are not taking any prescribed medication.
x It is not the intention of the EMC to persecute Masters – only to help, but first of all
you have to help yourself and you must cooperate.
x Always remember – if you take drugs to enhance your performance, you are a cheat !
x Visit the European Masters website at –
www.euromasterswl.weebly.com

2013 EUROPEAN MASTERS WEIGHTLIFTING CHAMPIONSHIPS
TABLE OF AGE GROUPS AND CORRESPONDING DATES OF BIRTH
(Men and Women)
35-39 M/W35 1974-78
60-64 M/W60
40-44 M/W40 1969-73
65-69 M/W65 1944-48
45-49 M/W45 1964-68
70-74 M/W70 1939-43 (Women 70+)
50-54 M/W50 1959-63
75-79 M75
55-59 M/W55 1954-58
80-80+ M80
Bodyweight Categories
Women :- 48

Table of Qualifying Totals (men)

240 SMM points
230 SMM points
220 SMM points
Age group
45-49 50-54 55-59 60-64 65-69 70-74 75-79 80+
Category
Minimum weight allowed = 26. kg (bar + 2 x 2.5 kg discs + 2 x 0.5 kg + spring clip collars)

Table of Qualifying Totals (women)

Based on 100 SMM points
Age Group
Category
Minimum weight allowed = 21 kg (bar + 2 2.5 kg discs + 2 x 0.5 kg + spring clip collars)

QUALIFYING TOTALS AND START TOTALS USING 10 kg/15 kg RULE (FOR
WEIGH IN)
240 SMM points

230 SMM points
220 SMM points
Age group
45-49 50-54 55-59 60-64 65-69 70-74 75-79 80 &
Category
15 kg rule “Start totals”
Age group
45-49 50-54 55-59 60-64 65-69 70-74 75-79 80 &
Category
Table of Qualifying Totals (women)
Based on 100 SMM points
Age Group
Category
10 kg rule “Start totals”
Age Group
Category
*Minimum weight on bar 21 kg
THERAPEUTIC/INADVERTENT USAGE OF BANNED SUBSTANCES
Participants subjected to drug testing who give an adverse analytical finding for the use of a banned
substance or substances, and who have a medical certificate issued to them by a qualified medical
practitioner may:
1. Refer the medical certificate to the appointed Anti-Doping Commission hearing. 2. Provide additional verifying facts and information that may support the particulars in the medical certificate and substantiate the use of such banned substance or substances by the participant for therapeutic and/or medical purposes only.
The IWF Masters Anti Doping Sub Committee expect all participants selected for drug
testing who are using therapeutic medicine to submit an IWF Masters TUE Form (see form
attached) and a medical certificate from their doctor to the Doping Control Officer at the time
of the test. The IWF Masters TUE Form and the medical report are valid for three (3) years
from the date of issue.

The IWF Masters Anti-Doping Sub Committee may at its discretion seek the advice and assistance
of the appointed qualified medical practitioner to enable a decision to be reached in the hearing.
Where therapeutic/inadvertent use of a banned substance or substances is proven, the IWF Masters
Anti-Doping Commission may:
1. take no further action, 2. provide counseling and take no additional action, or 3. impose a suitable sanction.
Note: The refusal by a participant to provide a sample will make any medical certificate inadmissible.

EDUCATION:
The IWF Masters will promote the education of Masters participants with regard to drugs in Sports.
In particular, the IWF Masters will affirm that no one should cease taking prescribed medication to
compete in any IWF Masters sanctioned event unless their personal physician recommends they
cease the medication.

IWF-Masters Anti-Doping Committee
Therapeutic Use Exemptions
valid for three (3) years
TUE - 2013

Please complete all sections, both sides, in capital letters or typing


1. ATHLETE INFORMATION:
Surname (Family Name):
………………………….………………………………………………………………………………

Given Names:
.
Date of Birth (d/m/y): ……………………………………………….…
Female □

Street Address
: .

City:
. State/Province: ………….………….…… Country: .

Postal-code:
……. Telephone: (country code) __________ .….………….……………………

E-mail:
………………………….….…….…………@.…………………………….

National Sport Organization
: Name, Address, & e-mail: ……………………………………………….……
………………………………………………………………………………………………………………………………………………………………….

2. MEDICAL INFORMATION:
Diagnosis with sufficient medical information
(see Note: next section):

………………………………………………………………………………………….………………….………
………………………………………………………………………………………………………….…….…….
……………………………………………………………………………………………………….………………….
…………………………….…………………………………………………………………………………….……….

If there are any “permitted medication/s” that are indicated, or being used, in the treatment of this type of
medical condition, provide clinical justification for the requested use of the “prohibited” medication.

…………………………………………………………………………………….……………………….……….
………………………………………………………………………………………………………….….….
……………………………………………………………………………………………………….………………….

NOTE: Diagnosis

Evidence confirming the diagnosis must be attached and forwarded with this application. The medical
evidence should include a comprehensive medical history and the results of all relevant examinations, laboratory
investigations and imaging studies. Copies of the original reports or letters should be included when possible.
Evidence should be as objective as possible in the clinical circumstances and in the case of non-demonstrable
conditions independent supporting medical opinion will assist this application.


3. MEDICATION DETAILS: Generic Name -- mandatory

Prohibited

Frequency
substance(s)


Intended duration of

treatment:
Once only □ Emergency□ Ongoing Duration □ state
length:
(week/s—month/s): ……………………start date: .………………………
Have you previously submitted any TUE applications?: yes no
Which substance(s)?
…………………………….To whom?…………………………………When?…………………Approved □ Not approved □ …………………………….To whom?…………………………………When?…………………Approved □ Not approved

4. MEDICAL PRACTITIONER’S DECLARATION: (Please attach page from prescription pad)
I certify that the above-mentioned treatment is medically appropriate/necessary and that the use of alternative
medication, that is not on the prohibited list, would be unsatisfactory for this condition.

Name:
…………………………………………………….

Medical Specialty:
…………………………………………….……………DEGREE…………………….…………….…….

Address:
…………………………………………………………….……………………………………………………….….….

Tel.:
(country code) ______ ……………………………………….…… Fax: ….………………….……………………

E-mail:
…………………………………………………………….……………………………………….……………………

Signature of Medical Practitioner:
. .Date: .

5. ATHLETE’S DECLARATION:

I, ……………………………………………………………………….………. certify that the information under section
“1.” Is accurate and that I am requesting approval to use a Substance or Method from the WADA Prohibited List. I
authorize the release of personal medical information to the IWF and its representative Anti-Doping Organization/s
(ADO) as well as to WADA staff, to the WADA TUEC (Therapeutic Use Exemption Committee) and to other ADO’s
under the provisions of the Code. I understand that if I ever wish to revoke the right of these organizations to
obtain my health information on my behalf, I must notify my medical practitioner and my ADO/s in writing of that
fact.

Athlete’s signature: . Date: ….

Incomplete Applications will be returned and will need to be totally resubmitted.
Please submit the completed form to the applicable ADO and keep a copy for your records.

Source: http://www.painonnosto.fi/attachments/masters/ilmoem2013_lomakkeet.pdf

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