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WPF WORLD RECORD / EPC EUROPEAN RECORD CERTIFICATE APPLICATION ⇐ ПредыдущаяСтр 3 из 3
WPF WORLD RECORD / EPC EUROPEAN RECORD CERTIFICATE APPLICATION WORLD RECORD ☐ Pro division ☐ Amateur division
Name... Address...
CountryRussia Zip/Post code… Phone… Age on Day of Meet… E-Mail… WeightClass… Sex: ☐ Male☐ Female NameofMeet2021 WPF World CupLocationMoscow MeetDirectorYuriySoloviev MeetDate22. 08. 2021 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 ___________________
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