Registration Form

Please use the same name as your NPC card
Entry fee: $85 per class
(Please note: you must fill out 1 entry form and pay $85 for each individual class category registered for.)

Date
Name
Age
Street Address
Address (cont.)
City
State
Zip
Day Phone
Cell Phone
Email
Height Weight 
Gym Represented
Trainer
NPC Card #

BODYBUILDING

Class(es) you intend to compete in (please check all that apply-entry fee required for each class.

Men    Women
Novice  Open    Masters  Teen

FITNESS - FIGURE - BIKINI

Class(es) you intend to compete in (please check all that apply-entry fee required for each class.

Fitness  Fitness Teen  Bikini  Bikini Masters 

Figure  Figure Teen  Figure Masters


In consideration of your acceptance of this entry to participate in the 2010 NPC Texas Shredder Classic (“Event”) and its related activities, I hereby, for myself, my heirs, executors and administrators, and my assignees, waive and release all rights and damages I may have against the National Physique Committee of the USA, Inc. (“NPC”), NPC Texas State Chair, the promoter, owners of the venue and hotel, and any and all sponsors of the Event, their representatives and assigns, for any and all injuries incurred by me in conjunction with these championships and in traveling to and from the Event.  I understand that the Event is NPC-sanctioned and shall be conducted in accordance with the rules and regulations established by the NPC.  And in further consideration of permission being granted to me to participate in the Event and its related activities, I hereby grant the NPC and/or any other NPC-approved video or entertainment organization and all of 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 any and all media, including without limitation, by means of still photography, motion pictures, radio, television, television motion pictures, video, printing or any other medium now know or hereafter devised, including with respect also to any merchandising, advertising, and/or publicity, and the right to use my name and information about me in any connection with any of 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 anytime in connection therewith.  Nothing contained herein shall be deemed to obligate the NPC, NPC Texas, the promoter, and/or any other NPC-approved video or entertainment organization, to photograph or otherwise reproduce my voice, appearance or name, or to make use of any of the rights granted herein.   I also understand that the aforementioned rights may be reassigned at any time without further consent.  I understand that the NPC, any 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 given to the NPC, NPC Texas, the promoter, and/or any NPC-approved video or entertainment organization hereunder.

I hereby certify that I am eligible to compete in this competition and that no entry will be accepted without a signature or entry fee.  I agree to abide by the decisions of the designated officials and declare that all of the information contained herein is, to the best of my knowledge, true, accurate and complete.  I have read and understood the contents of this entry.


AGREED:
Electronic Signature:

Date:

IF THIS RELEASE IS BEING SIGNED BY A PERSON UNDER EIGHTEEN (18) YEARS OF AGE, THE FOLLOWING MUST BE COMPLETED.

The undersigned is(are) the parent(s) or legal guardian(s) of the above-mentioned minor and is entitled to the sole care, custody and control of said minor. The undersigned does hereby represent, agree and guarantee that the undersigned consents to the execution by the minor of the Release, that the undersigned will not revoke such consent during the minority of the minor, that the undersigned has read the Release, is familiar with all the contents thereof, and that the minor shall fully and completely comply with all terms of the Release.


Electronic Signature of Parent/Guardian (If under 18)

IF THIS RELEASE IS BEING SIGNED BY A PERSON UNDER EIGHTEEN (18) YEARS OF AGE, THE FOLLOWING MUST BE COMPLETED.

The undersigned is(are) the parent(s) or legal guardian(s) of the above-mentioned minor and is entitled to the sole care, custody and control of said minor. The undersigned does hereby represent, agree and guarantee that the undersigned consents to the execution by the minor of the Release, that the undersigned will not revoke such consent during the minority of the minor, that the undersigned has read the Release, is familiar with all the contents thereof, and that the minor shall fully and completely comply with all terms of the Release.

DEADLINE FOR ENTRIES IS April 3rd, 2010 (After this date, a $50.00 late fee will be charged)
 

 

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