APF □         AAPF□    SCORE CARD                                    HEIGHT OF SQUAT RACK ______________

                                                                                                                                                IN= ____________OUT=________________

________________________________          __________________   

Competitor’s Name                                              Body Weight                                      WEIGHT CLASS:_______________________

Complete Mailing Address:_______________   ________       _________       Formula Coefficient:_____________________

                                                                                         Age              Birthdate        

_____________________________________                                                      Category______________________________

_______________________________                   _______________                             �  Powerlifting     � Bench Press    

Complete phone number                                                Occupation

                                                 1^st ATTEMPT                                 2^nd ATTEMPT                                  3^rd ATTEMPT                                  4^TH ATTEMPT

_____________________                             ______________________                _____________________       _________________

COEFFICIENT TOTAL                    = PLACE AS BEST LIFTER  PLACE                                         TOTAL

Powerlifting Accomplishments:___________________________________________________________________________________

    APF □         AAPF□    SCORE CARD                                 HEIGHT OF SQUAT RACK ______________

                                                                                                                                                 IN= ____________OUT=________________

________________________________          __________________   

Competitor’s Name                                              Body Weight                                         WEIGHT CLASS:_______________________

Complete Mailing Address:_______________   ________       _________           Formula Coefficient:_____________________

                                                                                         Age              Birthdate        

_____________________________________                                                          Category______________________________

_______________________________                   _______________                             �  Powerlifting     � Bench Press    

Complete phone number                                                Occupation

                                                 1^st ATTEMPT                                 2^nd ATTEMPT                                  3^rd ATTEMPT                                  4^TH ATTEMPT

_____________________                             ______________________                _____________________       _________________

COEFFICIENT TOTAL                    = PLACE AS BEST LIFTER  PLACE                                         TOTAL

Powerlifting Accomplishments:___________________________________________________________________________________