WNBF L.A. Muscle Mayhem Application

2015 Los Angeles Muscle Mayhem
May 16, 2015
Promoter: Jennifer Petinaud [email protected] 909-621-0066
Location: Alta Loma High School 8880 Baseline Rd. Rancho Cucamonga, CA 91701
Contest Times:
Prejudging - 10:00am Finals - 4:00pm
Mandatory Athlete Meeting Saturday 9:00am at ALHS
Tickets: Prejudging: $15 Finals: $30
Hotel: Hyatt Place 4760 Mills Circle Ontario, CA 800-492-8804
Special Rate: $99 Reservations must be made by May 1st Code= G-LAMM or
http://ontariomills.place.hyatt.com/lamm2015.html
Entry: The Entry fee is $60 for the initial division of competition, and $40 for each
additional division entered. Entries must be received no later than May 1st, 2015
A late entry penalty of $100 will be applied. Promoters have the option to not accept
late entries. Polygraph Fee is $50, WNBF membership registration is $60.
Eligibility: The competition is open to all amateur athletes who have not at any time during
the 7 years prior to this event engaged in the personal use of anabolic steroids, other
growth enhancing drugs, or prescription diuretics. Pro hormone compounds, and Many
other banned substances have varying time bans and/or amnesty periods. It is the athlete’s
sole responsibility to check all supplement ingredients. Refer to the WNBF Banned
substances list at www.WorldNaturalBB.com and contact promoter with any questions.
Testing & Check-in: Every competitor will take a polygraph examination set by
appointment. Appointments are set in order of entries received. The fee for polygraph is
$50, payable with entry. Testing is good for 60 days of WNBF events. Open and overall
winners will be urine tested. Promoters have the discretion to ask any competitor to submit
a specimen for urine testing.
WNBF amateur membership is required to compete. All contestants must present a current
WNBF card at check-in or new WNBF cards are $60 and may be purchased with entry.
You will be required to sign a liability release as a standard procedure at check-in.
Weight Classes: Women Open BBing: under/over 118 lbs
Men Open BBing: Light= under 165, Middle = 165 ¼ - 176, Light Hvy = 176 ¼ - 190, Heavy = over 190
Novice BBing: TBA
Promoter may adjust classes based upon number of entries
Competition Guidelines: Appropriate coverage of all suits, no thongs allowed, no
props on stage, BBing music = 60 seconds maximum, no profanity. All posing and
judging guidelines at www.WorldNaturalBB.com or www.CaliforniaNaturalMuscle.org
KEEP THIS PAGE!!
NO PERSONAL CHECKS. PLEASE MAIL MONEY ORDER OR CERTIFIED CHECK
PAYABLE TO: Jennifer Petinaud 2058 N Mills Ave. #505 Claremont, CA 91711
You will receive confirmation and additional information after we receive your completed entry form.
Name: __________________ Age:_____ Weight:_______ Height ____ft ____in (no shoes)
(This will determine your class, bodybuilders weigh at check-in)
Address_____________________ City__________________ State___ Zip_____
Home Phone_______________ Cell Phone_______________ Email________________________
In consideration of your accepting this entry, I hereby intend to be legally bound for myself, my heirs, executors and administrators,
and waive and releases any and all rights and claims for damages I may have against Jennifer Petinaud, GetU Fit Personal Wellness,
World Natural Bodybuilding Federation, Inc (WNBF), Tina Smith, Bob Bell, Nancy Andrews, California Natural Muscle, Promoter,
and any sponsors, agents, representatives and assigns for any and all injuries and/or losses suffered by me as a result of my
participation and/or attendance at the 2015 WNBF Los Angeles Muscle Mayhem on May 16, 2015.
Signature________________________________________ Date: ____________
Signature of parent or guardian if under 18: _____________________________________
Please check all divisions you are entering:
MEN’S CLASSES
WOMEN'S CLASSES
__ Open Women Bodybuilding ________wt
__ Novice Women Bodybuilding________wt
__ Master's Women Bodybuilding - over 40 years
__ Fit Body Height ____ ft ____ in
__ Open Figure - Height ___ ft ___in
__ Novice Figure Height ____ ft ___ in
__ Master's Figure - over 40 ___ ft ____in
__ Open Bikini Height ___ft __ in
__ Novice Bikini Height ____ ft ____ in
__ Master’s Bikini – over 40 ___ft ___in
__ Teenage Men (19 years and under)
__ Junior Men (Under 24 Years old)
__ Open Bodybuilding _____ lbs
__ Novice Bodybuilding ______lbs
__ Master's Bodybuilding - over 40 years
__ Grandmaster's Men - over 50 years
__ Open Men's Physique Height _____ft ____ in
__ Novice Men's Physique Height _____ft ____ in
__ Master’s Men’s Physique Height ____ft ____in
Please complete the following Bio information. This will be read during the Evening Finals for
all Bodybuilders/Fit Body prior to performing your individual posing routine, and for all Figure,
Bikini, Men’s Physique competitors as you perform your stage walk.
Athlete Bio
Name:
City/State:
Gym/Team Representing:
Special Thanks To: