EPC EUROPEAN RECORDCERTIFICATE APPLICATION

EPC EUROPEAN RECORDCERTIFICATE APPLICATION

☐ Pro division ☐ Amateur division

Name……………

Address_____________________________________________________________________

CountryRussia Zip/Post code__________Phone__________________

Age on Day of Meet….. E-Mail_______________________________________

WeightClass……. Sex: ☐ Male☐ Female

NameofMeet2020 WPF World ChampionshipLocationMoscow

MeetDirectorYuriySoloviev MeetDate15. 12. 2020

Please enter the amount of your new record in the appropriate space in kilos only.

(Meet directors must e-mail records chairman entire meet results for verification prior to new records and certificates being issued. )

Powerlifting: Squat ... KG Bench... KG Deadlift... KG Total... KG

Single Lift Bench Press Meet: Bench... KG (must enter single lift meet separate)

Single Lift Deadlift Meet: Dead lift... KG (must enter single lift meet separate)

Multi Rep Bench Press: 1Weight… REPIAT 1/2 Weigh… REPIAT

☐ RAW, ☐ CLASSIC, ☐ SINGLE PLY, ☐ MULTI PLY, ☐ MULTI REP RECORD?

Please check the division category how you entered the meet.

☐ Teen15-19 ☐ Junior 20-23 ☐ Open 24-39 ☐ Master 40-44

☐ Master 45-49 ☐ Master 50-54☐ Master 55-59 ☐ Master 60-64

☐ Master 65-69 ☐ Master 70-74 ☐ Master 75-79 ☐ Master 80+

Athlete’s Signature ____________________________ * (Required)