2008 Liberty State
Bodybuilding & Ms. Figure Championships
May 10, 2008
The Forum Theatre
236 Washington Street
Binghamton, NY 13901
HOST HOTEL:
BINGHAMTON REGENCY
(607) 722- 7575
LOCATED DIRECTLY ACROSS THE FORUM
Time: 9:00 A.M. Competitor’s check in
11:30 P.M. Pre-judging
5:30 P.M. Night Show* TIMES MAY CHANGE DUE TO ENTRIES
SHOW TICKETS ARE $20 FOR THE ENTIRE SHOW -KIDS UNDER 13 ARE $10.
Entry Fee: $35.00 per division entered. $50.00 per division the day of the show. **Early bird special $25.00 per division if mailed before April 10, 2008.
Figure - $45.00 per division entered. $80.00 per division the day of the show. **Early bird special $25.00 per division if mailed before April 10, 2008.
IFPA PRO $45.00 PER DIVISION. MONEY ORDERS ONLY. NO PERSONAL CHECKS. Make Payable to: Michael Halsey
Send check and entry form to: 8690 Backstretch Path, Cicero, NY 13039
Drug Testing Fee: Paid directly to the examiner-$40. Call for an appointment (315) 415-6801
ALL CONTESTANTS WILL BE POLYGRAPHED.
Eligibility for Bodybuilding & Figure Championships: Open to all amateur athletes who hold a OCB membership. Cards can be obtained online at www.nysnatural.com. MUST BE DRUG-FREE
Music: CD or Cassette tape- must be pre-set and a maximum of 90 seconds. Please have your CD or tape labeled.
Awards for Bodybuilding & Figure Championships: All competitors in each class, best poser men's and women. Each competitor will receive a goodie bag and T-shirt.
Tickets: Available through Ticketmaster only. www.ticketmaster.com
Contact information: Call Mike Halsey at 315-415-6801 or email at ABFREAK@AOL.COM
CLASSES:
Weight Classes:
Teenage ages 13-19
Men's Juniors ages 13- 24
Men's Novice (2 Classes to be determined the day of the show)
Men's Open (5 Classes)* Pro qualifier
Men's Light under 155, middle 155 to under 175, light heavy 175 to under 190, heavy 190 & over
Men's Masters (over 35+, 40+, 50+, 60+)*Pro qualifier
Women's Masters (34-44, 45+)
Women's Novice (1 Class)
Women's Open (3 Classes) Women's light under 112, middle 112 to 121, heavy 122 & over
Women's Figure Masters*
Women's Figure Novice*
Women's Figure Open*- Two classes: Short & Tall (height to be determined day of the show)
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I KNOW THAT MY PARTICIPATION IN THIS ACTIVITY IS POTENTIALLY HAZARDOUS AND CAN CAUSE BODILY INJURY OR DEATH. I CLEARLY UNDERSTAND THAT, BY SIGNING THIS FORM AND / OR MY INVOLVEMENT IN THIS ACTIVITY, I ASSUME ALL RISKS FOR ANY INJURY RESULTING THERE FROM AND WAIVE / RELEASE ANY AND ALL CLAIMS FOR DAMAGES THAT I MAY HAVE AGAINST THE PROMOTER, ITS OFFICIALS, OR REPRESENTATIVES. I ALSO UNDERSTAND IN ACCEPTING THE RESULTS OF ANY DRUG TESTING PERFORMED BY THIS CONTESTS REPRESENTATIVES. I UNDERSTAND THAT SUPPLYING INCORRECT INFORMATION ON THESE FORM VOIDS MY MEMBERSHIP.
APPLICANT’S SIGNATURE ___________________________________
PARENT’S SIGNATURE (IF UNDER 18)______________________________
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Entry Form
(Please Print Clearly)
Send To: Michael Halsey 8690 Backstretch Path Cicero, NY 13039 Or enter online at www.NYSNATURAL.COM
CLASS ENTERING________________________________
Name ______________________________ OCB Card # ___________________
Phone # ______________________________ Email ____________________
Address ______________________________ City, State, Zip ___________________
Height __________ Age _____________ Weight __________
Gym ______________________________ Occupation ____________________
Hobbies & Interests ________________________________________________________________ ___________________________________________________________________________
RELEASE
I acknowledge that athletic event is an extreme test of a person' physical and mental limits and carries with it the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by the terrain, the facilities, temperature, weather, condition of athletes, spectator, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to athletics, but also present for volunteers. I hereby assume all of the risks of participating and/or volunteering in this event. I realize liability may arise from negligence, carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. I certify that I am physically fit, have sufficiently trained for participation in the event and have not been advised otherwise by a qualified medical person. I acknowledge that this Accident Waiver and Release of Liability form will be used in the event holders, sponsors, organizers, in which I may participate and that it will govern my actions and responsibilities at said event. In consideration of my application and permitting me to participate in this event, I hereby take actions for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property thefts or actions of any kind which might hereafter accrue to me including my traveling to and from this event, the following entities or persons: Their directors, officers, employees, representatives, and agents, the event holders, event sponsors, event volunteers; (B) indemnify and hold harmless the entities or persons mentioned in this paragraph from any and all liability or claims made as result of participation in this event, whether caused by the negligence of releases or otherwise. I hereby consent to receive medical treatment, which may be deemed advisable in the event of injury accident or illness during this event. I understand that at this event or related activities, I may be photographed. I hereby agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and assigns. I understand that this is a drug-tested contest and agree to submit to any testing method approved by the contest promoter. I also agree to accept, without challenge, the results of such drug tests. Unless in the case of inconclusive results, I understand agree that the preliminary results are final. The accident Waiver and Release of Liability shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.
I hereby certify that I have read this document and I understand it's contents.
Print Participants Name ___________________________________
Age_________Participant Signature_____________________________
(If under 18 years old, Parent or guardian must also sign)
Parent Guardian Waiver for Minors
The undersigned parent and natural guardian does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all the parties referred to above from all liability, loss, claim or damage whatsoever which may be imposed upon said parties because of any defect or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian.
Print Participants Name____________________Age_____ Signature of Parent or Guarduan______________________________