Submission Form

Proposed Record Title(Required)

Name of Individual or Group Submitting Record(Required)

Email(Required)

Phone(Required)

Location(Required)

Social Media Account Names (Instagram, TikTok, Facebook, LinkedIn)

Are you over the age of 18?

Record Description(Required)

Measurement Metric (Units, Distance, Time, etc.)

Date Record Occurred (or will be attempted)

Month

Day

Year

Evidence (image/video upload)

Existing Record Link (if breaking an existing record)

Have you submitted details regarding this record attempt to another record certification body, and if yes to whom?(Required)

How did you hear about Atlas?(Required)

New York, NY

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