Bikini Master s Over 30 Over 40 Over 50

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1 2017 NPC BEACH BODIES CLASSIC SATURDAY, JULY 1, 2017 BODYBUILDING, FIGURE, BIKINI, PHYSIQUE &CLASSIC PHYSIQUE Name Phone Address: City/State/Zip Team/Trainer Gender: Male or Female Age Height Weight T-Shirt Size Men s Masters Bodybuilding Over 35 Over 40 Over 50 Over 60 Men s Open Bodybuilding Lightweight (up to & Incl.154 1/4) Middleweight (1541/4 to 1761/4) Lt. Heavyweight (176¼ to1981/4) Heavyweight (over 1981/4) Men s Novice Bodybuilding one class Men s Teen Bodybuilding (16-19yrs) Teen (One Class) Men s Masters Physique Over 30 Over 40 Over 50 Men s Open Physique Class A (up to & including 5 6 ) Class B (over 5 6 up to &inc. 5 8) Class C (over 5 8 up to & inc ) Class D (over 5 10) Men s Novice Physique one Class Men s Teen Physique (16-19yrs) Teen (One Class) Women s Physique Class A (up to & including 5 6) Class B (over 5 6) Women s Masters Figure Over 30 Over 40 Over 50 Women s Open Figure Class A (up to & inc. 5 4) Class B (over 5 4 up to &inc.5 6) Class C (over 5 6) Novice Figure One Class Men s Classic Physique Division A (Up to & Including 5 7 ) A1 (up to & including Up to & Including 155 lbs.) A2 (over 5 4 up to & including Up to & Including 160 lbs.) A3 (over 5 5 up to & including Up to & Including 165 lbs.) A4 (over 5 6 up to & including Up to & Including 170 lbs.) Division B (Over 5 7, Up to & Including 5 10 ) B1 (over 5 7 up to & including Up to & Including 177 lbs.) B2 (over 5 8 up to & including Up to & Including 185 lbs.) B3 (over 5 9 up to & including Up to & Including 192 lbs.) Division C (Over 5 10 ) C1 (over 5 10 up to & including Up to & Including 200 lbs.) C2 (over 5 11 up to & including Up to & Including 207 lbs.) C3 (over 6 0 up to & including Up to & Including 215 lbs.) C4 (over 6 1 up to & including Up to & Including 225 lbs.) C5 (over 6 2 up to & including Up to & Including 232 lbs.) C6 (over 6 3 up to & including Up to & Including 240 lbs.) C7 (over 6 4 up to & including Up to & Including 247 lbs.) Bikini Master s Over 30 Over 40 Over 50 Bikini Open Class A (up to & including 5 2) Class B (over 5 2 up to & inc. 5 4) Class C (over 5 4 up to & inc. 5 6) Class D (over 5 6) Bikini Novice One Class Teen Bikini (16-19yrs) (One Class)

2 C8 (over 6 5 up to & including Up to & Including 255 lbs.) C9 (over 6 6 up to & including Up to & Including 262 lbs.) C10 Over Up to & Including 270 lbs.) Sanction: The National Physique Committee (NPC) sanctions this event ALL competitors must possess a current NPC membership to compete NPC cards will be available for purchase at weigh-in/check-in Friday, June 30, NPC cards are $125. Eligibility: This event is open to all NPC registered athletes. Entry Fee: Entry fees are non-refundable. Entry fee is $75 per category and $35 for each crossover (each category). Crossovers between different DIVISIONS (example: figure and bikini or bodybuilding, physique and classic physique) require SEPARATE entry forms per division. Entry fee is payable by money order/ check or online by credit card payable to Rick Blackwood at Beach Bodies Fitness 834 N. Miramar Avenue, Indialantic, Fl., The deadline for online entry fees is Wednesday June 30, Entries will be accepted at the mandatory weigh-in/check-in Friday, June 30, 2017, CASH ONLY. Weigh-in/Check-in: Friday, June 30, 2017 at the Host Hotel, Hilton Rialto Airport 6pm- 8pm. Hilton Rialto Place, 200 Rialto Place, Melbourne, Fl Entries will not be accepted the day of the show. SHOW INFO: PREJUDGING STARTS PROMPTLY AT 10:00AM, AND EVENING SHOW STARTS AT 6:00 PM SHOW VENUE: SATURDAY, JULY 1, 2017., MELBOURNE AUDITORIUM 625 E. HIBISCUS BLVD., MELBOURNE, FL MANDATORY ATHLETES MEETING: 9:00AM AT THE MELBOURNE AUDITORIUM 625 E. HIBISCUS BLVD., MELBOURNE, FL Questions: Contact Rick Blackwood (321) or Donna Teimouri (321)

3 2017 NPC BEACHBODIES CLASSIC ENTRY FORM Bodybuilding, Physique, Figure, Bikini, and classic Physique Mandatory Check-In and Weigh-In will be Friday June 30 from 6-8pm at Hilton Rialto Place ONLY COMPETITORS WILL BE PERMITTED IN THE ROOM DURING WEIGH-IN Hilton Rialto Place200 Rialto Place, Melbourne, Florida 32901, Phone Bodybuilders and Classic Physique competitors must wear competition suit to weigh-in *No competitor will be allowed to weigh-in or enter on Saturday, July 1, 2017 Must have proof of an active NPC card to compete, Drivers License, Signed Entry Form and Signed Release Form NPC cards will be sold at Check-in ($125) CASH or CHECK, made payable to the: NATIONAL PHYSIQUE COMMITTEE NPC Regulations and Music Requirements Non competitors will not be permitted backstage during prejudging or Finals without a current NPC card and a backstage pass. The Pass must be purchased for $100. The only exception is that teen competitors are allowed one parent or legal guardian to accompany them No weights will be allowed in pump up area Athletes are required to bring bands Mandatory competitors meeting at 9:00 am All bodybuilding, Classic Physique, and Women s Physique competitors must supply their own music. -Music will be no longer than 90 seconds -the CD must contain only the 90 second of music -Music will be collected at the mandatory athletes meeting Saturday 9:00am, July 30, 2017 Due to venue rules, ALL athletes wearing tanning products must wear LONG SLEEVE SHIRTS AND LONG PANTS to sit in auditorium seating!!! No exceptions. No Dream tan allowed or application of tanning or oils in bathrooms. No Refunds on Tickets or Entry Fees Ticket Prices Prejudging 10:00am $20.00 Night Show 6:00pm $40.00 VIP(includes Prejudging and night show) $70.00 Entry Fee $75 for first entry and $35 for each additional crossover Entry fee paid at check-in, Friday June 30, 2016 must be CASH ONLY

4 "THIS FORM MUST BE SIGNED AND MAILED IN WITH YOUR ENTRY FORM" In consideration of being allowed to participate in any way in the Name of Event NPC BEACH BODIES CLASSIC ("Event") promoted by Name of Promoters RICHARD BLACKWOOD ("Promoter") and sanctioned by the National Physique Committee of the USA. Inc. ("NPC"), its related events and activities, I, (Please print your 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 KNOWLINGLY 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 Wl IFTI IF.R 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 HILTON RIALTO AIRPORT 200 Rialto Place, Melbourne Florida ("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- approvcd video or entertainment organization and all of their agents, successors, licensees and assigns, the right to photograph or otherwise reproduce (whether by film, 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

5 the rights granted to the NPC, Promoter and/or any other NPC-approvcd 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 GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. SIGNATURE Age: Date Signed FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGFf (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. 1 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. PARENT/GURDIAN Age: Date Signed PARTICIPANTS SIGNATURE

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