Record Application

Athlete's Name:
Club:
Date of Birth:
USATF Membership Number:
Pick a Discipline / Season:
Gender:
Age Group:
Para Athletic Classification:	If Applicable
Event:
Mark:
Name of Competition:
Location of Competition:
Date of Competition:	Today
Link to Results:
Details of Current Record to be Replaced:
For Race Walk, Name of Chief Judge:
Email: