NGA NATURAL NORTHEAST BODYBUILDING, FIGURE, PHYSIQUE & BIKINI CHAMPIONSHIPS FEATURING THE NGA PRO WOMEN’S EXTRAVAGANZA APRIL 15TH 2017 Eligibility, Entry Fee & Deadline: Amateur fee $50.00 per division, Pro fee $100.00 per division -cash, check or money order payable to Irondequoit Fitness LLC. Entries must be received by April 8TH 2017 to avoid $25 late fee. Entries will not be accepted on day of show. Promoter has the right to limit the number of entries accepted. Open to all natural amateur athletes that are drug free for a minimum of 7 years prior to the date of competition. NGA Pro athletes or pro athletes in organizations recognized by the NGA. Competitors must either have a valid or purchase a National Gym Association membership card. Cards may be obtained on the day of show or in advance with your entry ($65.00 Amateur, $105 PRO) Place & Time: Eastridge High School 2350 East Ridge Rd Rochester, New York 14622 9:00 AM competitor check in, 11:00 AM Pre Judging 5:00 PM Night Show. Testing Fee: $45.00 payable to polygraph examiner (cash only) on testing date call (or e mail [email protected]) to schedule an appointment at (585) 747 5598 Awards: each competitor in every division will get awards (Niels Andersen sculptures featured) Banned Substances: All Anabolic Steroids, Growth Hormone, Prescription Diuretics Depressant drug, narcotics, medications that may be used for the purpose of deceiving a polygraph test. Clenbuterol, muscle implants, synthol and all FDA banned substances that may be used for bodybuilding purposes http://www.nationalgym.com/national-gym-drug-testing.html DRUG TESTING RULES & SHOW POLICIES: 1. All athletes must submit to a polygraph to ensure that they are within the 7-year time limit of the banned substances. 2. The overall Men’s Bodybuilding, Women’s Bodybuilding Bikini, Figure, Men’s Physique, Women’s Physique Champion will be eligible to apply for NGA Pro status. * Must be a minimum of 5 competitors in class to turn pro. FIGURE & BIKINI COMPETITORS – ADD A PHOTO COPY OF YOUR LICENSE FOR HEIGHT VERIFICATION Attire & Music: Bodybuilders: men- one piece posing suit of solid color. Bodybuilding: Women- 2 piece posing suit (may be connected) multiple color & sequins permitted. Women’s Figure/Bikini/physique 2-piece bikini style swimsuit. Bodybuilders & Women’s physique must bring a burned CD (maximum 90 seconds) with only your posing music on it. (Music provided for bikini & figure) No profanity allowed in music. Pro Figure, Pro Bikini & Pro Women’s Physique will provide their own music Send entry forms with appropriate fees included payable to Irondequoit Fitness LLC 471 E. Ridge Rd Rochester, NY 14621 (585) 747 5598 E Mail – [email protected] Competitors may also enter online via Pay Pal Www.nganewyork.com/natural_northeast Check the appropriate class and division. Crossovers are permitted. Men’s Bodybuilding Open ( ) Women’s Bikini 1st time competing ( ) Lightweight 156.25 & under Women’s Bikini ( ) 35+ ( ) 45+ ( ) Middleweight over 156.25 to 172.25 ( ) Women’s Bikini Novice (classes divided day of show) ( ) Light heavyweight over 172.25 to 189.25 ( ) Women’s Bikini Open Short 5’3” & under ( ) Heavyweight over 189.25 ( ) Women’s Bikini Open Medium over 5’3” to 5’6” ( ) Men’s Bodybuilding 1st time competing ( ) Women’s Bikini Open Tall over 5’ 6” ( ) Teen Men Women’s Figure Masters ( ) 35+ ( ) 45+ (classes divided day of show) ( ) Men's Novice (height classes divided day of show) ( ) Women’s Figure 1st time competing ( ) Men's Masters 40+ ( )50+( )60+ ( ) 70+ ( ) Women’s Figure Novice (classes divided day of show) ( ) Men’s Physique 40+ ( ) 50+ ( ) ( ) Men’s Physique novice ( ) Men’s Physique 1st time ( ) Women’s Figure Open Short 5’3” & under ( ) Women’s Figure Open Medium over 5’3” to 5’6” ( ) Women’s Figure Open Tall over 5’ 6” ( ) Women’s Physique ( ( ( ( ( ( ) ) ) ) ) ) Men’s Physique open Lightweight 156.25 & under Middleweight over 156.25 to 172.25 Heavyweight over 172.25) PRO WOMEN’S PHYSIQUE PRO BIKINI ( ) Women’s Bodybuilding ( ) Women's Bodybuilding 40+ ( ) PRO FIGURE Name_________________________________________Address________________________________ City_________________State__________ZIP_______________Phone#_______________________ Gym/Team Representing________________________________Age______Height____Weight___________ E mail________________________________________________________________________ Waiver: In consideration your accepting this entry in to the NGA Natural Northeast Bodybuilding, Figure, Physique & Bikini Championships, along with my non refundable entry fee, I hereby intend to be legally bound for myself, my heirs, executors and administrators, and waive and release any and all rights claims for damages I may have against Eastridge High School, The National Gym Association, the contest promoter Joe Christiano or Irondequoit Fitness LLC. This also includes all sponsors, representatives and assigns for any and all injuries and/or losses suffered by me as a result of my participation and/or attendance and traveling to the NGA Natural Northeast Bodybuilding, Figure, and Physique & Bikini Championships on April 15th 2017. These damages include, but are not limited to photos that I may find to be unattractive or editorial which I may construe as being misrepresentative. I also grant Joe Christiano permission to use photos, videos or any likeness of myself to promote the contest. I understand this will be done without any compensation to me. I also agree by my own free will without duress, to take a polygraph exam. I understand that I may be chosen randomly to take a urinalysis in addition to a polygraph exam. I also agree to the outcome of the test results from the examiner. I will abide by all contest rules and show good sportsmanship. By signing and submission of this form I am stating that I am at least 7 years drug free and will abide by all drug test policies and procedures. Signature___________________________________Parent (if under18)__________________ Date_______ Entry Fee Amateur: _____ @ $50.00 per class = $______ Entry Fee PRO @ $100.00 per class = $______ NGA Organizational Card ______ @ 65.00 =$______ Tickets: Prejudging _________ @ $15.00= $ ________ Night show VIP _________ @ $26.00= $ ________ Night show General _________ @ $20.00= $ ________ *(Please note: General & Vip are advanced ticket prices only, day of prices are $22.00 general & $28.00 for VIP) TOTAL $ ___________
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