ABA/INBA CONTEST ENTRY FORM

PRINT THIS COMPETITION ENTRY FORM

"Be part of the world wide leaders in Natural Bodybuilding
and Fitness, and support drug-free sports!"

(Entry form must be submitted 14 days prior to the competition date, or you will incur a late fee of $25)

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_________________________

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: Novice_______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______________________________________________

PARENTS SIGNATURE______________________________________________(If under 18)

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 Fit and
Natural Productions 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 add an additional $5.00 for processing

Testing Fee for all athletes ($40-$70) pending on show Cash ONLY at the Door!

Please Choose:
ATM Card_____ Visa______ Mastercard_____ Check_____ Money Order_____

Total Charged to Card (add $5.00 for processing):______________
Card #:_____________________________________ Exp. Date___________ 3 Digit Code_______
Signature____________________________________________________________

Please Make Checks & Money Orders Payable To : Fit and Natural Productions Inc.
Please Read and Sign the following form and send it in with your entry form:

Acknowledgment and Agreement:

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).
2. To comply with and be bound by all of the provisions of the INBA/PNBA Anti-Doping Rules and
amendments.
3. The INBA and National Federations have jurisdiction to impose sanctions as provided in the
INBA/PNBA Anti-Doping Rules.
4. Any dispute arising out of a decision made pursuant to the INBA/PNBA Anti-Doping Rules, after
exhaustion of the process expressly provided for in the INBA/PNBA Anti-Doping Rules, may be
appealed exclusively to the Court of Arbitration for Sport.
5. Decisions of the Court of Arbitration for Sport shall be final and enforceable, and that I will not bring
any claim, arbitration, lawsuit or litigation in any other court or tribunal.
6. I consent to the use of any photographs, video recording or other images taken or recorded at this
event by the INBA/PNBA or it's nominees, in any magazine, broadcast transmission or any other printed
or electronic media for the purposes of promoting this or future events, the INBA/PNBA, INBA/PNBA
or nominees or their sponsors.
7. I further understand that if I fail the drug test, that the INBA/PNBA has the right to post my
photograph and name as such on any printed or electronic media.
8. I have read and understand this Acknowledgment and Agreement.

Today's Date : ______________________
Date of Birth(Day/Month/Year): _______________________
Print Name (Last Name, First Name) _______________________________
Signature (or, if a minor, signature of legal guardian) _______________________________

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