OFFICIAL NOMINATION FORM PRELIMINARY 9TH OF SEPTEMBER NOT PARTICIPATING

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International Powerlifting Federation

OFFICIAL NOMINATION FORM PRELIMINARY 9TH OF SEPTEMBER NOT PARTICIPATING 　OFFICIAL NOMINATION FORM PRELIMINARY 9TH OF SEPTEMBER NOT PARTICIPATING 　　　OFFICIAL NOMINATION FORM PRELIMINARY 9TH OF SEPTEMBER NOT PARTICIPATING

Official Nomination Form


Preliminary: 9th of September

Not Participating: 18th of October

Final: 18th of October


The International Powerlifting Federation and Norwegian Powerlifting Federation

invite the IPF member nations to the


World Open Powerlifting

Championships 2021

from 7th of November to 13th of November 2021

in Stavanger, Norway


The preliminary and final nomination forms must be sent to:


Meet Director: Morten Novum - email: [email protected]

Cell: +47 908 22 012

VISA: Janne Gunn Gaard - email: [email protected]

Cell: +47 913 21 685


Accommodation : Anne Haugstad, Clarion Hotel Energy – email [email protected] 

Cell: +47 51 34 78 00


Copy : Gaston Parage, 3, route D’Arlon, L-8009 Strassen, Luxembourg

Mobile phone : +352-621165214 – Fax : +352-582696

Email : [email protected]


Submitted by


National Powerlifting Federation

Submitting officer:


Title:


Date:



Team Manager :


Coach:



Referee 1 :


Cat :


Available for categories:


Referee 2 :


Cat :


Available for categories:


Referee 3 :


Cat :


Available for categories:


Referee 4 :


Cat :


Available for categories:



Total number of lifters:


Total amount of team :


Arrival : day :


Flight/train/car


Arrival time:


On airport/station:


Flight nr:



Departure time:


Time:


Flight nr:



We need rooms:



Single – from – to:




Double – from – to:











Nomination Guidelines


Each referee must state which category they will be available to referee. He/she must referee in the stated categories they’re nominated for to be available for. If available categories are not stated, he/she is obliged to referee in categories decided by the Technical Committee.


It is an obligation of every Federation to confirm the participation of all their Referees nominated in the Final nomination or cancel the referees who will not participate in the Championship!!!


Latest date for changes of categories for which has been allocated by the championship secretary must be made latest 21 days prior to the Technical Meeting of the competition. If referees do not indicate changes to the Championships Secretary during that time, referees are obliged to be available for the original categories stated on IPF website on “Referees/Jury duty” section.


All nominated referees attending a championship, must be available to referee for at least two days!


State each lifter’s personal best achieved at national or international championships during the previous 12 months. Enter the lifter’s family name and first name separately into an appropriate column below.

NOMINATION FORM

Women

Class

Family Name

First Name

Birthday

SQ

BP

DL

TOTAL









































































Reserve lifters, max. 5 per team















































Men

Class

Family Name

First Name

Birthday

SQ

BP

DL

TOTAL









































































Reserve lifters, max. 5 per team















































ACCREDITATION OF FEDERATION OFFICIALS

Full and Complete Name

Federation Title















ACCREDITATION OF FEDERATION COACHES

Full and Complete Name

Federation Title














ACCREDITATION FOR FEDERATION TEAM DOCTOR OR PHYSOITHERAPIST


Full and Complete Name

Federation Title





Full and complete Name of team doctor or physiotherapist – must provide documentation to prove their qualifications. Team doctor or physiotherapist must sit in the audience until they are required to go to the

Warm-up/wrapping area to attend to their athlete if any injury occurs.

 





























Country: _______________________________


Visa Support Document


Norwegian Powerlifting Federation

Janne Gunn Gaard: [email protected] Cell: +47 913 21 685




Full names of athletes

Birth Day

Passport Number

Expiration Date


























































Full names of coaches

Birth Day

Passport Number

Expiration Date























Page 4 of 4


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