Contest Entry Form

SATURDAY SEPTEMBER 25th, 2010
Imperial Palace Hotel & Casino. Las Vegas NV

Registration at the Hotel on Friday night 5pm
Call for Special Rates, Mandatory stay at hotel if not residing in Las Vegas,
must obtain your room 30 days prior to competition, rates will go up!
*PLEASE VERIFY ALL TIMES (951)734-3900
***Must have qualified within 2010
competition year through INBA to compete!***

*** **AVAILABLE CLASSES**

Teen Girls/Boys (2 classes) 13 -17 and 18 -19
Junior Men (1 class) 19-21 (must be first contest)
Masters Men/Women (2 classes)-40-49
Jr. Masters Men/Women (2 classes)-35-39
Grand Masters Men/Women (2 classes) 50-59
Ultra Masters Men/Women (1 class) 60-69
Super Ultra Masters (1 class)-70+
Novice Men/Women (3 classes)
Open Men (4 classes)
Open Women (3 classes)
Mixed Pairs (1 class)
Physically Challenged (2 classes)Standing and Wheelchair
Ms. Figure (5 classes) Open, Masters & Grand Masters
Ms. Figure Classic (3 classes) Novice, Open, Masters
Ms. Physique (5 classes) Open, Masters & Grand Masters (Formerly Ms. Figure- to compete Internationally as Figure)
Ms. Fitness (3 classes) Teen, Masters, Open
Bikini Divas (2 classes)
Sports Model (2 classes)
Kids Fitness (1 class)
Team Challenge (1 class)
Professional Classes
Physique, Figure, Sports Model, Bikini Divas, Bodybuilding Men/Women, minimum of 5 competitors to have class Must have registration form in 2 weeks prior to competition date to be eligible to compete. (CASH & PRIZES-MUST HAVE REGISTERED 60 DAYS IN ADVANCE) ************************************************************************************************************************************

PROMOTER RESERVES THE RIGHT TO CHANGE CLASSES AND AWARDS. FINAL CLASSES WILL BE DETEMINED, BASED UPON NUMBER OF ENTRIES RECEIVED.

**GENERAL INFORMATION**

MUSIC: CD's ONLY. No individual posing in Prejudging. Main Show posing limited to top three of each class, and a maximum of 60 seconds with music, and props. Bring your music already cued at Check-in. (Quality Recorded and Cued)
AWARDS: 1-3 will receive statues, all others will receive participation medals. (Promoter reserves the right to change any awards and number of placing's)
ENTRY FEE: $95.00 each class. $175.00 for Mixed Pairs. Professional $250.00. Fee must accompany entry form. Money Orders only made payable to ABA/INBA,
NO REFUNDS!
ENTRY DEADLINES: Please verify dates. A $50.00 LATE FEE WILL BE ADDED AFTER SEP. 17TH
BACKSTAGE: Will be limited to athletes and AB/INBA officials. NO EXCEPTIONS!!!
CAMERAS: No Video or Professional camera equipment permitted in the auditorium. ONLY POCKET CAMERAS ARE ALLOWED!! A DVD may be purchased through the ABA/INBA.
SHOWTIMES: 9:00 A.M. PREJUDGING 5:00 P.M. MAIN SHOW

REGISTRATION: FRIDAY NIGHT 5-9PM AT THE IMPERIAL PALACE

INFO & TICKETS:
Contact INBA Headquarters (951) 734-3900 Order Form Below.
Order Tickets with Visa or Master Card. Cash ONLY at the Door!
Prejudging $20, Main Show: $30, $35 and $45
VIP Package (All Day): $60

**NATURAL REQUIREMENTS**
1. 5 YEARS DRUG FREE REQUIREMENT!!!
2. You will have to pay for your drug test in cash. The cost is an affordable $75 The fee is much cheaper and safer than drugs.
3. Drug test will be given the day of the contest
4. If you should fail the drug test once you will be disqualified from the competition, depending on the substance 1year- to lifetime from the ABA/INBA/PNBA
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USE IT FOR $10 OFF YOUR REGISTRATION, IF YOU ORDER $100 IN
XTREME NATURAL SUPPLEMENT PRODUCTS!

For Entry Fees and Tickets please use: Money Order, Cashiers Check or Credit Card Made Payable to: INBA/PNBA
Please add a $5.00 service charge for credit card purchases

Card Holder's Name_________________________________________Visa_______MC_______
Credit Card #___________________________________Exp.Date________ 3-digit code____ Name___________________________Address_________________________________________ City_______________________State_______ZIP_____________PHONE___________________
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TEAM USA APPLICATION

******* PLEASE PRINT NEATLY * OFFICIAL ENTRY FORM * SEND ENTRY IN NOW * NO REFUNDS!!*****
-MUST BE A MEMBER OF THE ABA/INBA TO COMPETE, FORMS AVAILABLE ONLINE-

NAME__________________________________________________________________________

ADDRESS_______________________________________________CITY___________________ STATE______ZIP/POSTAL CODE__________

PHONE NUMBER__________________ OCCUPATION___________________AGE_______HEIGHT_______WEIGHT________ E-MAIL________________

YOUR GYM NAME_________________________________ADDRESS_____________________________________________________________________

CITY___________________STATE_____ZIP/POSTAL CODE________PHONE___________

TITLES WON_______________________________________________________________________________________________________________________

INTERESTS_________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________

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

SIGNATURE______________________________________________________

PARENT'S SIGNATURE____________________________________________(If Under 18)

Upon signing the above, I will be legally binding 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, INBA,PNBA, IFSB,NFSB, facility, city, county, Ms. Fitness, their officers, agents, employee's, sponsors, co-sponsors, officials, 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 photographs, video tapes, motion picture recordings, or any other record of this event for any purpose. I further understand that all ABA/INBA/PNBA sanctioned titles shall be stated as ABA/INBA/PNBA titles when used by an athlete for any purpose. Misuse of ABA/INBA/PNBA titles will result in legal action by the ABA/INBA/PNBA 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. *********************************************************************************************************************************************** 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 ______________________________________________________ Parent's Signature _______________________________________________(if under 18)

Mail application and entry fees to:

ABA/INBA/PNBA Headquarters
PO Box 78177
Corona, CA. 92877-0139

HOTLINE-(951)734-3900
FAX- (951) 734-7749
INBAWorld@aol.com