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2008 Kina Elyassi
NPC Natural East Coast Tournament of |
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| Please Check Class(es) | |
Men's Novice: |
Men's Open: [ ] Bantamweight up to 143-1/4 lbs. [ ] Lightweight - Over 143-1/4 to 154-1/4 lbs. [ ] Middleweight -Over 154-1/4 to 176-1/4 lbs. [ ] Light Heavyweight - Over 176-1/4 to 198-1/4 lbs. [ ] Heavyweight - Over 198-1/4 lbs. |
| Women's Open: [ ] Lightweight - up to 114-1/4 lbs. [ ] Middleweight - Over 114 -1/4lbs. to 125-1/4 lbs. [ ] Heavyweight - Over 125-1/4 lbs. |
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| Men's Master: [ ] Men's Master 40 and Over [ ] Men's Master 50 and Over |
Women's Figure: [ ] Short - up to 5'4" [ ] Middle - over 5'4" to 5'6" [ ] Tall - over 5'6" |
| Women's Master: [ ] Women's Master 35 and Over [ ] Women's Master 45 and Over |
Women's Master Figure: [ ] Women's Master Figure 35 and Over |
- National Qualifier - |
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Print Name:____________________________________ Phone: (_____)___________________________
Address: _____________________________________________________________________________
City: ___________________________________ State: _____________ Zip Code: ___________________
Age: _________ Height: _______ Weight: _______ Gym: ________________________________________
Email: _________________________________________________________________________________
Location of Gym: _______________________________ NPC Number (if applicable):
___________________
Occupation: ___________________________________Titles Held, if any: ___________________________
Signature: _______________________________________________Date: __________________________
Signature of Parent or Guardian if applicant is under 18 years of age:
_______________________________________________________ Date: ___________________________
In consideration of accepting this entry, I hereby, intending to be legally bound for myself, my heirs, executors and administrators, agree to waive and release any and all rights and claims for damages arising from the above described contest. The waiver and release extends to the NPC, Yohnnex Sports, Yohnnex Nutrition, Yohnnie Shambourger, Kina Elyassi, University of the District of Columbia, the District of Columbia government, as well as all contributors, staff, and officials connected with the above described contest. |
NOTE: All
Contestants please PRINT this Application Form and mail with your
entry fee payable to: Yohnnex Sports, 7509 Allentown Rd., Ft. Washington,
MD 20744 |
Go to Yohnnex Sports home page