New Manitoba Powerlifting Records Claim Form
This form is to be used to notify the MPA Records Chairman that you have broken a Manitoba Powerlifting Record and you wish to claim the record.  

You must claim this record within seven (7) days of the competition in which you broke the record.  

Records will be emailed in a PDF for you to print out your certificate.
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Name *
E-mail *
CPU Card #
Date of Birth *
MM
/
DD
/
YYYY
Gender *
(as defined for the rules of competition)
Meet Information

Date of Competition *
Meet Name *
Meet Level *
Event Type *
Unequipped / Equipped *
Division *
Check other qualifying categories
Check this box if you competed in an age-restricted category (Sub/Junior, Masters) and would also set records in other categories towards Open. E.g. If you set a competed as Masters-2, and would also improve the M1 or Open records.
Body weight (kg) at meet *
Weight class (kg) at meet *
Records established
Submit only the results you set records for
Squat (kg)
Bench Press (kg)
Deadlift (kg)
Total (kg)
Were you drug tested
Clear selection
Record Certificate Printing Request *
Submit
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