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Florida Weightlifting Federation
New State Record Reporting Form
This form must be completed and sent to the FWF:
- If an athlete has broken any State Florida, at any sanctioned local, national, or international level competition
- And this form must be completed by the athlete or their respective coach
- No payment for brroken records will be issued without the complete of this form
Athlete Name:
USA Weightlifting Member Number
Competition Record Was broken
Weight Class of broken Record
Age Division
Gender
Previous Record Snatch (if applicable)
Previous Record C+J (if applicable)
Previous Record Total (if applicable)
New Record Snatch (if applicable)
New Record C+J (if applicable)
New Record Total (if applicable)
Name of person submitting form:
Date submitted to FWF:
Email:
Phone:
must place each new record if multiple were made
must place each new record if multiple were made
must place each new record if multiple were made
(MM/DD/YYYY)
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