You MUST be a member of the North Midlands division and active within the division in order to claim any records!

Note: You will need to submit a claim for each individual lift record. ie if claiming for a Squat and a Total record for example, then you need to submit a claim for each one individually etc

Please check the NM Records first before notifying and only submit claims for your record lifts – do not submit all your competition results. (Unless of course they are all records then refer to above point)

Once submitted and verified, the records will be updated. Upon completion of this process, certificate(s) can be requested via email to nmpowerliftingrecords@gmail.com

Name:*

Firstname

Surname

E-mail:*

GBPF No.*

Date of lift:*

Competition*

Age Class:*

Sub JuniorJunior SeniorMasters 1Masters 2Masters 3Masters 4Masters 5

Weight Class*

53kg59kg66kg74kg83kg93kg105kg120kg120+kg

Lift discipline*

SquatBenchDeadliftTotalBench A/C

Lift style*

Classic

Equipped

Weight Lifted*

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