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ENTRY FORM
BE PART OF THE
WORLD WIDE LEADERS IN NATURAL BODYBUILDING AND FITNESS
ABA/INBA CONTEST
ENTRY FORM
**COMPLETE ENTIRE FORM**PLEASE PRINT NEATLY*
Title of Contest___________________________Date of Contest____________
First Name _______________________________________________________
Middle___________________________________________________________
Last Name________________________________________________________
Address__________________________________________________________
City________________________State_________Country__________________
Zip/Postal Code_________________Home Phone________________________
Work Phone________________________E-mail__________________________
Age________Sex______Height______Occupation________________________
Interests__________________________________________________________
_________________________________________________________________
Titles Won(if any)___________________________________________________
(Your Gym) Name___________________________________________________
Address___________________________________________________________
City________________________State__________Zip/Postal
Code___________
Phone Number_______________________E-mail_________________________
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Mark appropriate class or classes you are competing in.. (men/women)Teenage______ (men/women)Jr. Masters________ (men/women)Masters________ (men/women)Grand Masters______ (men/women)Ultra Masters_______ (men/women)Super Ultra Masters________ (men/women)Junior_________ Novice Men_________ Open Men_________ Novice Women________ Open Women________Mixed Pairs________ Physically Challenged:Chair______Standing______ Ms. Figure: Open________Masters_________Grand Masters_________ Ms.
Fitness competitor: Open________ Masters________ Men's Fitness________ Kids Fitness ________Teen Fitness ________ (men/women)Model Search________ Ms. Physique______Bikini Divas________ Men and Women Professional Bodybuilding_________(Pending on show!) Promoter reserves the right to change classes if necessary. Final classes will be determined, based upon the number of entries recieved.
SIGNATURE________________________________________________________________________________________
Upon signing the above, I will be legally bound myself, my heirs, my executors, administrators and assigns to waive and release any and all claims or rights for injuries or damages suffered by me against Kakos Productions, Mt. Olympus Inc., ABA, PNBA, INBA, NFSB, IFSB, facility, city, country, Ms.Fitness, their officers, agents, employees, sponsors, co-sponsors, officials and sub-contractors. I will participate in this event as a contestant. Further, I hereby grant full permission to any and all of the foregoing to use my photographs, video tapes, motion picture recordings, or any other record of this event for any purpose. I further understand that all ABA/PNBA/INBA sanctioned titles shall be stated as ABA/PNBA/INBA titles when used by any athlete for any purpose. Miseuse of an ABA/PNBA/INBA title will result in legal action by the ABA/PNBA/INBA and I will be responsible for any attorney fees and court costs.
Entry Fee per
class is $50.00 (Please note, $10 additional
for National Show) Please Choose: ATM Card_____ Visa______
Mastercard_____ Check_____ Money Order_____ Card #:_________________________________________ Exp. Date___________ 3 Digit Code_______ Signature____________________________________________________________ Please Make Checks &
Money Orders Payable To: "Mt. Olympus Inc."
Please Read and Sign the following form and send
it in with your entry form: I, as a member of the INBA/PNBA and/or a participant in an INBA/PNBA authorized or recognized event, hereby acknowledge and agree as follows: 1. I have had an opportunity to review the INBA/PNBA Anti-Doping
Rules (please look under banned substances section on our website).
Today's Date : ______________________ Date of Birth(Day/Month/Year): _______________________ Print Name (Last Name, First Name) _______________________________ Signature (or, if a minor, signature of legal guardian) _______________________________
Mail Application, Anti-Doping Agreement
and Entry fee to: |