NGA NATURAL AMERICAN

BODYBUILDING, FIGURE, PHYSIQUE & BIKINI

CHAMPIONSHIPS

November 18th 2017

Eligibility, Entry Fee & Deadline: $50.00 per class -cash check or money order payable to Irondequoit Fitness LLC. Entries must be received by November 10TH 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. All Competitors must either have 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)

Place & Time: Irondequoit High School 260 Cooper Rd Rochester, New York 14617

9 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 ) to schedule an appointment at (585) 747 5598

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, 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

*NOVICE means a competitor that has NOT placed in the top 3 in an open division in any organization and that has not won 1st place in a novice division in any organization. The promoter has the right to alter divisions and events with regards to participation & limit the number of competitors.

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.

Men’s Physique Competitors will be asked to walk in board shorts (shorts must be just above the knee in length and can be one inch below the belly button

Send entry forms with appropriate fees included payable to to Irondequoit Fitness LLC 471 E. Ridge Rd Rochester, NY 14621 (585) 747 5598 E Mail –

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 ( ) 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 / ( ) Women’s Figure Open Short 5’3” & under
( ) Lightweight 156.25 & under / ( ) Women’s Figure Open Medium over 5’3” to 5’6”
( ) Middleweight over 156.25 to 172.25 / ( ) Women’s Figure Open Tall over 5’ 6”
( ) Heavyweight over 172.25) ( ) Women's Bodybuilding 40+
( ) Men’s Physique ( ) 40+ ( ) 50+ ( ) Women’s Bodybuilding
( ) Men’s Physique first time ( ) ( ) Women’s Physique

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 American Championships, along with my non refundable entry, 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 American Championships on November 18th 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: _____ @ $50.00

Crossover Fee: (Each additional class) _____ @ $50.00 = $______

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 $ ______