NJ NPC MID ATLANTIC NATURAL CLASSIC BODYBUILDING PHYSIQUE FIGURE BIKINI COMPETITION Location: New Brunswick Middle School 1125 Livingston Avenue New Brunswick 08901 Entry Form & Information Packet UPDATES FOR 2015 √ NO DAY OF COMPETITION ENTRIES ACCEPTED √ CHECK- IN, WEIGHT -IN & NPC CARDS – FRIDAY, MAY 1 @ 6:00 PM MUSCLE MILL - 23 NO MAIN ST, MILLTOWN, NJ A Ron Capodanno Production 23 North Main Street, Milltown, NJ 08850 (732) 828-4004 www.RonsWorldFitness.com MIDATLANTICBBSHOW@GMAIL.COM MIDATLANTIC NATURAL CLASSIC ENTRY FORM MAY 2, 2015 NEW BRUNSWICK MIDDLE SCHOOL FULL NAME: EMAIL: ADDRESS: PHONE: CITY: TRAINING GYM: STATE: AGE: ZIP: WEIGHT/HEIGHT: TITLES/HOBBIES/ACCOMPLISHMENTS: Men Women crossover ? NOVICE MEN BB B (SELECT DIVISION/WEIGHT CLASS) C D A E OPEN MEN BB *NQ (SELECT DIVISION/WEIGHT CLASS) MEN’S MASTERS BB – OVER 35 MEN’S MASTERS BB – OVER 45 MEN’S BB FIRST TIMERS (NEVER COMPETED) A B MEN’S PHYSIQUE C D E **NQ MEN’S MASTER PHYSIQUE *NQ – 35 & OVER OPEN AND NOVICE MEN (OPEN MEN’S IS A *NATIONAL QUALIFIER) A. BANTAM (OPEN ONLY): UP TO 143 ¼ B. LIGHTWEIGHT: 143 ¼ UP TO AND INCLUDING 154 ¼ C. MIDDLEWEIGHT: OVER 154 ¼ UP TO AND INCLUDING 176 ¼ D. LIGHT HEAVYWEIGHT: OVER 176 ¼ UP TO AND INCLUDING 198 ¼ E. HEAVY WEIGHT: 198 ¼ AND OVER Teens TEENS – MEN’S BODY BUILDING TEENS – MEN’S PHYSIQUE *NQ = NATIONAL QUALIFIER ** = CLASSES TO BE DETERMINED DAY OF EVENT C WOMEN’S PHYSIQUE BB B BIKINI – UNDER 5’4” BIKINI – 5’4” & OVER *NQ (SELECT DIVISION/WEIGHT CLASS) *NQ *NQ WOMEN’S MASTERS BIKINI ** —35 & OVER WOMEN’S FIGURE – UNDER 5’4” WOMEN’S FIGURE – 5’4” & OVER *NQ *NQ WOMEN’S MASTERS FIGURE – 35 & OVER WOMEN’S PHYSIQUE *NATIONAL QUALIFIER A. UNDER 5’4” B. 5’4” & OVER ENTRY FEE (PER DIVISION) ***NO Refunds*** 1 Class Early by April 21 $6000 2 Classes: $11000 3 Classes: $17000 After April 22nd: $75.00 per class No Day of Show ENTRIES A RON CAPODANNO PRODUCTION Page 1 of 5 MID-ATLANTIC NATURAL CLASSIC ENTRY FORM MAY 2, 2015 NEW BRUNSWICK MIDDLE SCHOOL In consideration of being allowed to participate in any way in the 2015 NPC Mid Atlantic Natural Classic (“Event”) promoted by A Ron Capodanno Production (“Promoter”) and sanctioned by the National Physique Committee of the USA, Inc. (“NPC”), its related events and activities, I, Please print name_____________________________________________________), the undersigned, acknowledge, appreciate and agree that: The risk of injury from the activities involved in this Event is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE PROMOTER AND/OR THE NPC or others, and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation, if, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Promoter immediately; and ,I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE Promoter and the NPC and each of their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY DISABILITY, DEATH, or loss or damage to person or property associated with my presence at or participation in or in traveling to and from the Event, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. The undersigned further consents and agrees that the undersigned will comply with all rules and regulations of the Name of Hotel - Not Applicable (“Hotel”) including any rules or regulations prohibiting cooking or food preparation in the hotel rooms. The undersigned further agrees that the undersigned will indemnify and hold harmless the NPC and the Promoter from and against any damages caused by the undersigned to the Hotel or damages to a guest room or rooms occupied or registered to the undersigned. Finally, the undersigned acknowledges that the undersigned’s failure to comply with any rule or regulation of the Hotel or damage to any guest room occupied by or registered to the undersigned may result in disciplinary action against the undersigned including, but not limited to, suspension as a member of the NPC and/or competing in contests sanctioned by the NPC. And in further consideration of permission being granted to me to participate in the Event and its related events. I hereby grant the NPC, Promoter and/or any other NPC-approved video or entertainment organization and all of their agents, successors, licensees and assigns, the right to photograph or otherwise reproduce (whether by _lm, tape, still photography or otherwise) my voice, appearance and name, and to exhibit, distribute, transmit, and/or otherwise exploit any and all media, including without limitation, by means of still photography, motion pictures, radio, television, television motion pictures, video, printing on digital or any other medium now known or hereafter devised, including with respect also to any merchandising, advertising and/or publicity, and the right to use my name and information about me in any connection with any of the foregoing. The rights granted by me hereunder are granted for the entire universe and shall endure in perpetuity and no further compensation shall be payable to me at any time in connection therewith. Nothing contained herein shall be deemed to obligate the NPC, Promoter, and/or any other NPC-approved video or entertainment organization, to photograph or otherwise reproduce my voice, appearance or name, or to make use of any rights granted herein. I also understand that the aforementioned rights may be reassigned at any time without further consent. I understand that the NPC, the Promoter and/or any NPC-approved video or entertainment organization, are videotaping and photographing the Event in express reliance upon the foregoing, and I represent and agree that I am free to grant the rights granted to the NPC, Promoter and/or any other NPC-approved video or entertainment organization hereunder. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. X____________________________________________________________ Age: ___ __ Date SIGNED: __________ PARTICIPANTS SIGNATURE FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law. X_____________________________________________________________ Age: _____ Date Signed: ____________ PARENT/GUARDIAN SIGNATURE A RON CAPODANNO PRODUCTION *IMPORTANT INFORMATION* KEEP THIS PAGE!!!!!!! TO ENTER: Send MONEY ORDERS ONLY (Checks will be returned!) Payable to: RON CAPODANNO 23 North Main Street Milltown, NJ 08850 (732) 828-4004 MIDATLANTICBBSHOW@GMAIL.COM DATES /TIMES/ LOCATIONS SHOW DATE MAY 2, 2015 EARLY ENTRY DEADLINE April 21 POLYGRAPH TESTING ALL CONTESTANTS ARE REQUIRED TO BE POLYGRAPHED (see page 4 for scheduling info) WEIGH-IN & NPC CARDS (BRING TRUNKS) PREJUDGING NIGHT SHOW FEES April 28, 29, 30 & May 1 May 1 May 2 May 2 10:00 AM– 8:00 PM World Fitness/Muscle Mill 6:00 PM –9:00 PM Muscle Mill 9:00 AM Competitors Arrive at Venue 11:00 AM SHARP Begins New Brunswick Middle School 5:00 PM Doors Open 6:00 PM Show Begins New Brunswick Middle School ENTRY (*Per Division*) NO Refunds $60 Early per class $75 After April 21 per class NPC CARD (May purchase on day of event) $120 (Annual) POLYGRAPH TESTING (Due at testing time) REMEMBER - ALL COMPETITORS MUST BE POLYGRAPH TESTED $45 EVERYONE MUST HAVE AN NPC CARD BRING YOUR TRUNKS & SUITS TO WEIGH-INS at Muscle Mill- May 1st 6PM MAKE SURE YOUR TAPE OR CD IS CUED UP & LABELED MINUTE LENGTH. (NO PROFANITY!!) TEENS AND MASTERS MUST BRING PROOF OF AGE!! A RON CAPODANNO PRODUCTION PAGE 3 OF 5 -IMPORTANT INFORMATION- **KEEP THIS PAGE** LOCATION: **KEEP THIS PAGE** New Brunswick Middle School 1125 Livingston Avenue, New Brunswick, NJ 08901 DRUG TESTING REQUIREMENTS - COMPETITORS SCHEDULE THEIR OWN POLYGRAPH TEST at https://npc2015midatlantic.acuityscheduling.com/schedule.php or contact Chris at 917-560-3196 NOVICE (Pure Class): OPEN MEN: WOMEN’S PHYSIQUE & MEN’S PHYSIQUE: WOMEN’S FIGURE & BIKINI: AWARDS: For novice men’s weight class ONLY. To compete, you must be tested as free from steroid and diuretic use for (5) Years or more from the date of the show. To compete, you must be tested as free from steroid and diuretic use for (1) year or more from the date of the show. To compete, you must be tested as free from steroid and diuretic use for (3) years or more from the date of the show. To compete, you must be tested as free from steroid and diuretic use for (1) year or more from the date of the show. All competitors First 5 places Official show T-shirt Neils Anderson Statue (in each class) OVERALL Awards MEDIA: Show Jacket Open Men OVERALL Winner $250.00 toward travel expenses to the 2015 Team Universe Publication in Ironman Magazine, NPC News, and others. Tanning, Makeup and Competitor Preparation will be done BY Gina Trochiano at DESTINATION GLAM SQUAD at her location or on Friday, May 1st 12 PM- 9:00 PM and Saturday May 2nd 5-9:00 AM at Muscle Mill For Pricing, Details and to Book your appointment, log onto : DestinationGlamSquad.com SHE IS THE OFFICIAL TANNING AND MAKEUP SERVICE FOR THE EVENT. A RON CAPODANNO PRODUCTION Page 4 of 5 TICKET PRICES **PRE-SHOW TICKET SALES AT MUSCLE MILL/WORLD FITNESS** 732-828-4004 LOCATED AT: 23 NO. MAIN STREET MILLTOWN, NJ 08850 Platinum VIP $60.00 VIP $45.00 Prejudging Only $25.00 A & B Rows CenterDirectly Behind Judges (includes prejudging) ONLY 25 Available!! General Admission Backstage Pass P/J-G/A-Ticket $35.00 $70.00 Rows C-M (includes prejudging) Rows N and back (Night Show) No advance sales – At door only Backstage/Prejudging/General Admission IMPORTANT – PLEASE READ Advance ticket orders must be received by April 22, 2015. Money Order Only (made payable to Ron Capodanno) and a self-addressed, stamped envelope. Also, include a note with a list of the services you will be paying for. NO CHECKS Mail to RON CAPODANNO, 23 North Main Street Milltown NJ 08850. Tickets may also be purchased in person at World Fitness at above address. For BACKSTAGE PASSES you will need to give us the person’s FULL NAME with PAYMENT IN FULL. Only One Person will get a Backstage Pass. Their Badge will be at the Credential’s Table and it will be under the Competitor’s name. The Backstage Pass is a Badge and is for the backstage, as well as their ticket for the whole day of the Event . If they lose it, there is a $25.00 Charge for a new one, along with proper ID to show it was the person that it was ORIGINALLY handed to. REMEMBER—NPC Cards DO NOT get sent to us. POLYGRAPH TEST gets paid at time of test!!! You need Only ONE Money ORDER for your Entry Form, Tickets, & Backstage Passes. A RON CAPODANNO PRODUCTION Page 5 of 5
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