Athlete Form Please fill the form in capital letters

Transcription

Athlete Form Please fill the form in capital letters
Athlete Form
Please fill the form in capital letters
Name:
Gender:
Father Name:
Male
Female
Date of Birth:
NIC:
District:
Central / South / East / West
Address:
Country:
Mobile:
Home Phone:
Email:
Profession:
Gym / Slimming Center
Club
/
Association
/
Personal
Name of Club/Association You Represent:
Signature and stamp of Association Secretary
Club/Slimming Center/Gym
Owner or Manager Signature and stamp
Entry Eligibility:
Karachi Bodybuilding and Physique Sports Association event is open for permanent Residential of Karachi City.
All Male & Female concern to Bodybuilding, Fitness and Slimming centers/clubs may participate accordingly in this
open Event.
Men’s Bodybuilding
For Official Use Only
JUNIOR KARACHI
Remarks
SN
Category
1
UP TO 60 KG
2
UP TO 70 KG
3
ABOVE 70 KG
SN
Men’s Bodybuilding
For Official Use Only
MASTER
Remarks
Category
1
45 TO 55 YEARS
2
OVER 55 YEARS
SN
1
Tick
Tick
Men’s Bodybuilding
For Official Use Only
SPECIAL CLASS
Remarks
Category
FOR DISABLE PERSONS
Tick
Men’s Bodybuilding
For Official Use Only
MR.KARACHI
Remarks
SN
Category
1
UP TO 60 KG
2
UP TO 65 KG
3
UP TO 70 KG
4
UP TO 75 KG
5
UP TO 80 KG
6
ABOVE 80 KG
Tick
Men’s Bodybuilding
For Official Use Only
JUNIOR MR.SINDH
Remarks
SN
Category
1
UP TO 60 KG
2
UP TO 70 KG
3
ABOVE 70 KG
Tick
Men’s Bodybuilding
For Official Use Only
SENIOR MR.SINDH
SN
Category
1
UP TO 60 KG
2
UP TO 65 KG
3
UP TO 70 KG
4
UP TO 75 KG
5
UP TO 80 KG
6
ABOVE 80 KG
Tick
Fitness Physique
For Official Use Only
WOMEN FITNESS
SN
Category
1
MOST FIT LADY 2014
2
RAPIDLY FEMALE FAT LOSS
3
ABOVE 40 YEARS
Tick
Participants may wear those type of clothes to look fit and smart and they feel comfortable, shalwar kameez,
pants shirt, t-shirt jeans, track suit etc make sure they are appropriate (obscene and vulgar clothing will not be
allowed).
Participants clothing will be assessed & finalized 10 days before the event by the organizing committee
Fitness Physique
For Official Use Only
MEN FITNESS
SN
Category
1
MEN FITNESS PHYSIQUE
2
ATHLETIC PHYSIQUE
3
MODEL PHYSIQUE
4
SPORTS PHYSIQUE
5
RAPDLY MALE FAT LOSS
Tick
Note:
The organizing committee reserve the right to cancel a category or to move over the next category if there is less than 3
competitors in any category.
Junior must be complete 22 years of age may not celebrated its 22nd birthday and must present his NADRA original
identity card or NADRA original B-form along with photocopy.
Participant must submit all the necessary documents, name and details of men/women athletes and bodybuilders with 2
passport size photos and ID card copy for making security card to organizing committee.
Declaration
1.
2.
3.
4.
5.
6.
I have read and understood the contest rules and regulation and category definitions and fulfil the criteria to compete and
decide to participate in the event on my own free will.
I am free to take part in any sports competitions and I am not serving a ban or suspension from taking part in any sporting
competition including bodybuilding
I declare that I participated in this competition on my own accord and shall not hold the organizers responsible for any
injuries, loss of property and/or health which may be sustained by me during the course of the competition.
I shall not withdraw from the event unless I have been advised by my doctor and have medical proof or letter from said
doctor to do so. If I do not turn up for the event without a valid reason and prior written approval from KBPSA. KBPSA
may take disciplinary action against me.
I agree to abide the rules and decisions of the organizing committee, the designated officials and KBPSA.
I agree to pay for the registration fee of PKR 500/= per category to Karachi Bodybuilding and Physique Sports
Association together with submission of the entry form page 1 to 6 and that KBPSA reserves the right to reject any
incomplete entry forms.
________________________________________________
Name and Signature of Participant
_____________ ______
Date
----------------------------------------------------------------------------------------------------------------------------------------------Parent / Guardian Approval
(For participant under the age of 18 years old)
I ____________________________________________ parent / guardian of ________________________________
(Name of Parent / Guardian)
(Name of Participant)
have read and understood the above declaration and hereby approve his/her participation for this event
________________________________________________
Name of Parent / Signature
_____________ ______
Date
________________________________________________
Guardian NIC#:
FOR OFFICE USE ONLY
I hereby approve / do not approve the participation of the above mentioned participant.
Registration Date:
Registration fees Rs: 500.00
Approved Date:
Checked By:
Registration No#:
______________________________________________
Name & Signature of KBPSA President
_____________ ______
Date
______________________________________________
Name & Signature of KBPSA Treasurer
_____________ ______
Date