USVIPF National or District (STC,STJ,STT) Record Claim Form
Last Name *
First Name *
Email *
Phone number
USVIPF Card # *
Date of Birth *
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Gender *
Meet Date *
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DD
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YYYY
Name of Meet *
Competition *
Equipment *
Competition Divsion *
Meet Day Age *
Meet Day Body Weight *
Squat Record
(*Put "0" if not the lift your claiming a record for on this form.*)
Record
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The U.S. Virgin Islands Powerlifting Federation (USVIPF) is committed to the worldwide movement for doping-free sport. As a condition of membership, all USVIPF members (to include athletes, referees, and personnel) shall agree to be bound, without exception, to the IPF Anti-Doping Rules as well the WADA Code and all affiliated WADA guidelines,policies and protocols.      The USVIPF mission includes eradicating the use of prohibited substances and methods (as described in the WADA code and all associated WADA guidelines, practices, and policies) from powerlifting in the U.S. Virgin Islands. As such, all members of the USVIPF , by virtue of membership, are also agreeing to submit to out of competition, out of meet and in meet drug testing, either at a sanctioned IPF, IPF Affiliate Nation, or USVI Powerlifting federation meet,  or on a  "no notice" basis. If found guilty of violating  an IPF,WADA, and/or USVIPF anti-doping rule the USVIPF member will be responsible for paying any associated fines and/or fees issued by the IPF, WADA, and/or USVIPF against the lifter or against the USVIPF on behalf of said lifter. *
Squat Record (kg) *
Bench Record
*Put "0" if not the lift your claiming a record for on this form.*
Bench Record (kg) *
Deadlift Record
(*Put "0" if not the lift your claiming a record for on this form.*)
Deadlift Record (kg) *
Total Record
(*Put "0" if not the lift your claiming a record for on this form.*)
Total Record (kg) *
URL to meet results *
URL to your meet records/results *
Drug Tested *
This record surpasses current record by .5kg. *
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