Contest Entry Form

PRINT THIS COMPETITION ENTRY FORM
BE PART OF THE WORLD WIDE LEADERS IN NATURAL BODYBUILDING AND FITNESS
2010 ABA/INBA CONTEST ENTRY FORM
-MUST BE A MEMBER OF THE ABA/INBA TO COMPETE, FORMS AVAILABLE ONLINE-
(Entry form must be submitted 14 days prior to the competition date,
or you will incur a late fee of $25)
USE THIS FOR $10 OFF YOUR REGISTRATION, IF YOU ORDER $100 IN
XTREME NATURAL SUPPLEMENT PRODUCTS!

Mark appropriate class or classes you are competing in..

Category/Class:___________________________________(Men___Women___)
Open___ Novice___ Teen___ Juniors___ Jr. Masters___ Masters___ Grand Masters___ Ultra Masters___ Super Masters___ Kids__

Promoter reserves the right to change classes if necessary. Final classes will be determined, based upon the number of entries recieved. NO REFUNDS!!

Would you like a DVD or Photo CD of your Special Day!
DVD $79.00_______ Photo CD $59.00_______ plus $5 Shipping/Handling

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 Kakos Productions, Mt. Olympus 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. An INBA Entry Form constitutes an Application to compete. INBA reserve the right to refuse or withdraw any Application at their discretion and at any time, prior to the athlete competing.

Entry Fee per class is $50.00 NO REFUNDS! (Please note, $10 additional for National Show) add an additional $5.00 for processing Testing Fee for all athletes ($40-$70) pending on showCash 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: "Mt. Olympus 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) _______________________________

Mail Application, Anti-Doping Agreement and Entry fee to:
World Headquarters of the ABA/INBA/PNBA
P.O. BOX 78177 CORONA, CA 92877-0139
Fax (951) 734-7749 with Mastercard or Visa Information
HOT LINE (951) 734-3900