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: