application for the
Transcription
application for the
BEST POSER AWARDS BEST BODY PARTS AWARDS 2015 NPC VA Grand Prix Men and Women’s Bodybuilding, Men and Women’s Physique, Figure and Bikini Championships NATIONAL QUALIFIER Saturday, June 13, 2015 Old Dominion University Theater – Norfolk, VA DIVISIONS: Men’s Bodybuilding Open (6 Divisions) Men’s Masters Bodybuilding (4 Divisions) Men’s Novice Bodybuilding (2 Divisions) Men’s Physique (2 Divisions) Men’s Masters Physique (1 Division) Men’s Novice Physique (2 Divisions) Teen Men (1 Division) Women’s Bodybuilding Open (1 Division) Women’s Physique (2 Divisions) Figure Open (3 Divisions) Figure Masters (1 Division) Figure Novice (2 Divisions) Bikini Open (3 Divisions) Bikini Masters (1 Division) Bikini Novice (2 Divisions) TICKET INFORMATION: Tickets/Coaches Passes available day of event (CASH ONLY). Coaches Passes $50 plus cost of admission to both shows. HOST HOTEL: Springhill Suites Marriott 4500 Hampton Blvd Norfolk, VA 23508 757-423-4100 Mention NPCN for Group Rate, deadline is 5/13 4PM Complimentary Breakfast, HiSpeed Internet & Parking Prejudging: 9AM $20 Finals: 6PM $30 ENTRY FEE: $80, postmarked by May 31, 2015 $100, postmarked after May 31, 2015 $75, crossover fee Crossovers are allowed in all divisions & classes MANDATORY CHECK-INS/WEIGH-INS ALL COMPETITORS: th Fri, June 12 @ ODU Theater 6-9PM THERE WILL BE NO CHECK-INS/WEIGH-INS ON SATURDAY AS PER NPC RULES Make check/money order payable to: East Coast Gym, LLC 6655 Indian River Rd Virginia Beach, VA 23464 (757) 424-4167 MANDATORY ATHLETES MEETINGS: Saturday, June 13th @ ODU Theater 815AM Saturday, June 13th @ ODU Theater 515PM PROMOTER INFORMATION: Marvin Chappell, NPC VA/DC Chairman 757-424-4167 or [email protected] Awards will be presented for Best Poser Open Divisions Only – Men’s Bodybuilding, Women’s Bodybuilding/Women’s Physique, Men’s Physique, Figure & Bikini Best Body Parts – Men’s Open Bodybuilding 2015 NPC VA Grand Prix Entry Form Saturday, June 13, 2015, Old Dominion University Theater, Norfolk, VA ELIGIBILITY: Open to any current member of the NPC. NPC membership cards can be purchased on at check-in on Friday, June 12, 2015 for $120 cash, check, or money order payable to the National Physique Committee. Masters and Teen competitors must show proof of age. ENTRY FEE: $80 per division if postmarked on or before May 31, 2015; $100 per division if postmarked after May 31, 2015; crossover entries $75 each. Late entries will also be accepted at check-in/weigh-in on Friday, June 13, 2014. All entry fees must be paid by cash, check/money order payable to EAST COAST GYM, LLC at or prior to time of check-in/weigh-in. No entries will be accepted after Friday, June 12, 2015 per NPC rule. No refunds, under any circumstances, will be offered. CHECK-IN/WEIGH-IN: Friday; June 12, 2015; 6-9 PM at Old Dominion University Theater. ALL competitors MUST wear competition suits to check-ins/weigh-ins. TIME SCHEDULE: Saturday, June 13, 2014; MANDATORY Meeting 8:15 AM; Prejudging 9 AM; MANDATORY Meeting 5:15 PM; Finals 6 PM. DIVISIONS: _____Men’s BB Open Lightweight (up to and including 154¼) _____Men’s BB Open Welterweight (over 154 ¼ up to and including 165 ¼) _____Men’s BB Open Middleweight (over 165 ¼ up to and including 176 ¼) _____Men’s BB Open Light-heavy (over 176 ¼ up to and including 198 ¼) _____Men’s BB Open Heavyweight (over 198 ¼ up to and including 225 ¼) _____Men’s BB Open Super-heavyweight (over 225 ¼) _____Men’s BB Novice Lightweight (up to and including 176 ¼) _____Men’s BB Novice Heavy (Over 176 ¼) _____Men’s Physique Open A (up to and including 5’9”) _____Men’s Physique Open B (over 5’9”) _____Women’s Open BB (one division) _____Women’s Open Physique (up to and including 5’6”) _____Women’s Open Physique (over 5’6”) _____Women’s Figure Open A (up to and including 5’4”) _____Women’s Figure Open B (over 5’4” up to and including 5’6”) _____Women’s Figure Open C (over 5’6”) _____Women’s Bikini A (up to and including 5’4”) _____Women’s Bikini B (over 5’4” up to and including 5’6”) _____Women’s Bikini C (over 5’6”) _____Men’s Masters BB (age 40-49) _____Men’s Masters BB (age 50-59) _____Men’s Masters BB (age 60-69) _____Men’s Masters BB (age 70+) _____Teen Men BB (must be 19 yrs of age or younger) _____Men’s Physique Masters (age 35+) _____Men’s Physique Novice A (up to and including 5’9”) _____Men’s Physique Novice B (over 5’9”) _____ Figure Masters (age 35+) _____ Figure Novice A (up to and including 5’4”) _____ Figure Novice B (over 5’4”) ______Bikini Masters (age 35+) ______Bikini Novice A (up to and including 5’4”) ______Bikini Novice B (over 5’4”) AWARDS: Awards will be presented to the top 5 competitors in each class for each division. Overall awards will be presented to Men’s Open Bodybuilding, Men’s Novice Bodybuilding, Men’s Masters Bodybuilding, Men’s Open Physique, Men’s Novice Physique, Women’s Physique, Figure Open, Figure Novice, Bikini Open and Bikini Novice. Best Poser/Best Presentation Awards will be presented to Open Classes Only: Men’s Bodybuilding, Women’s Bodybuilding/Women’s Physique (one award), Men’s Physique, Figure and Bikini. Best Body Parts Awards will be presented to Men’s Bodybuilding Open only. MUSIC: All bodybuilders and women’s physique competitors MUST supply their own music on CD format ONLY. Posing music MUST be no longer than 70 seconds for bodybuilders/women’s physique and be the only track on that CD. Vulgar music is grounds for disqualification. CDs will be collected at the MANDATORY competitor meeting prior to prejudging but will be used only at the Finals. Your music will begin when your name is announced. NOVICE: If an athlete has placed in the top ten (10) of any national event (including the IFBB North American Championships), the athlete is no longer considered a novice. A true novice is an athlete that has never entered an NPC event. BODYBUILDERS and PHYSIQUE: NO props may be used during prejudging or finals. The only jewelry that may be worn at prejudging is wedding bands (including body piercings). Women’s Bodybuilding posing suits may be decorated for Finals ONLY. Men’s Bodybuilding suits must be plain in color with no fringe, wording, sparkle or fluorescents. MEN’S PHYSIQUE COMPETITORS: Board shorts are to be worn that are just above the knee in length and not hip-hugging. The only logos that can be present on the shorts are manufacturer’s logos (i.e. Billabong, WRV, Under Amour, Nike, etc.) FIGURE AND BIKINI COMPETITORS: 2 piece suits only. If you are unsure if your suit will be acceptable, please be sure to bring a back-up suit. TICKETS: Tickets will be available the day of the competition at the door (CASH ONLY). Prejudging $20, Finals $30 (all tickets are General Admission). COACHES PASSES: $50 (Does NOT include admission to the event); Sale of coaches’ passes will be determined upon availability due to backstage space at the venue (no guarantees). Coaches and their athletes must adhere to very specific rules, which will be discussed during the meeting prior to pre-judging. Failure to follow these rules will result in the loss of privilege and monies paid will be forfeited. PROMOTER INFORMATION: Marvin Chappell; (757) 424-4167; [email protected] or go to www.virginianpc.com Send contest entries with money order to: Marvin Chappell, East Coast Gym, LLC, 6655 Indian River Rd, Virginia Beach, VA 23464 Name __________________________________________________________________________________ Age _____________ Address ____________________________________________ City, State, ZIP _________________________________________ E-mail address_______________________________________Phone________________________________________________ Gym ____________________________________________________Gym Phone ______________________________________ ATHLETE’S LIABILITY RELEASE FORM: In consideration of being allowed to participate in any way in the 2015 NPC VA GRAND PRIX (“Event”) promoted by Marvin Chappell, East Coast Gym LLC, any and all sponsors of the event (including Old Dominion University Theater and the SpringHill Suites By Marriott) (“Promoter”) and sanctioned by the National Physique Committee of the USA, Inc. (“NPC”), its related events and activities, I, (name of participant – PLEASE PRINT) _________________________________________, the undersigned, acknowledge, appreciate and agree that: 1) 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, 2) I KNOWINGLY 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, 3) 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, 4) I, for myself and on behalf of my heirs, assigns, person representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE PROMOTER, 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 use for the activity (collectively, “The Releases”), 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, WHETHER 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 SpringHill Suites Marriott (“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 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 any contests sanctioned by the NPC. Any damage to the bed linens, towels, etc, will be charged to the undersigned’s room. 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-approved video or entertainment organization and all o 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 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 hereinafter devised, including with respect to any merchandising, advertising and/or publicity, and the right to use my name and information about me in any connection with 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, to make use of any rights granted herein. I also understand that the aforementioned rights may be resigned at any time without further consent. I understand that the NPC, the Promoter and/or any other 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 the rights granted to the NPC, Promoter and/or any other NPC-approved video and entertainment organization hereunder. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK ASSESSMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Signature ___________________________________________________________________________________________________________ Name (Please Print) ________________________________________________________________________ Date _____________________ FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER 18 AT THE 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 heir, assigns, and next of kin, I 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/Guardian Signature ______________________________________________________________________________________________ Name (Please Print) ____________________________________________________________________________Date ____________________