MAXXMUSCLE NORTH CHAMPIONSHIPS, Rainton Meadows Arena, Mercantile Road, Tyne and Wear, DH4 5PH

OFFICE USE ONLY This box to be filled in By UKBFF Official MS Nr……….…………… Height Paid £……………… Weight Category

U.K.B.F.F. QUALIFYING CONTEST ENTRY FORM MAXXMUSCLE NORTH CHAMPIONSHIPS, Rainton Meadows Arena, Mercantile Road, Tyne and Wear, DH4 5PH SATURDAY 5th AUGUST Complete entry form in BLOCK LETTERS and email to [email protected] with copy to [email protected] or send to: Maxxmuscle, 2-4 Market Street, Hetton le Hole, Tyne and Wear, DH5 9DY

Full name: Address: Town/City: Postcode Phone nr: Occupation Email Address Date of Birth Membership Nr (If not yet a member, you can purchase a membership online or on day of the event in cash) Which gym you train Town Please state which category you are entering in this event

Please tick 1 box below I am a British Citizen (If British Citizen, please skip the next questions and go straight to read WAIVER OF LIABILITY) I am Not a British Citizen, but I am a My nationality Permanent Resident UK If Permanent Resident, How long Did you ever compete in your Yes No have you lived/worked in UK birth country I understand, accept and agree to the following conditions: WAIVER OF LIABILITY 1. I understand that in order for me to participate as a Competitor in ANY UKBFF Event, I must agree to be bound by this Waiver of Liability and that I do so willingly and of my own free will. 2. That I agree to waive any and all claims I may now and in the future have against, and release from all liability and agree not to sue the United Kingdom Bodybuilding and Fitness Federation, the Event Organizer of any sanctioned 2017 UKBFF Qualifying Championships and other sanctioned competitions and courses, all and any of the UKBFF and Event officials, volunteers, agents or representatives, the official hotel and official competition venue and their staff, hereinafter referred to as ‘Released Parties’, for any personal injury, death and property damages, expenses or loss sustained by me as a result of my participation in the Event due to any cause whatsoever, including, without limitation, negligence or breach of statutory duty on the part of the Released Parties. 3. That I agree that medical and personal injury insurance coverage while participating in this Event is solely my responsibility and that I agree to be responsible for and to pay for any and all costs that may arise as a result of my requiring medical and/or other special services and, in any event, should the Released Parties incur any cost for any such services for me personally, I agree to reimburse the Released Parties for all costs of these services as may be incurred by them for my benefit or at my request. 4. In entering into this agreement, I am not relying on any oral, written or visual representations or statements made by the released parties to induce me to participate in this Event. 5. I agree that any photo/picture and/or video images of myself, taken during the above mentioned event by photographers approved by the UKBFF, may be used, royalty free, in all media and/or report on the show

I confirm that I am the full age of majority and that I have read, and understand this agreement prior to signing it and agree that this agreement will be binding upon me (as a participant or guardian), my heirs, next of kin, executors, administrators and successors. Only competitors who have obtained UKBFF membership can participate. Winners will qualify for the UKBFF British Championships in October. If the standard of the category is very high, the UKBFF Officials may invite top 2 or top 3. Note: There will be a charge of £10 Entry/Administration Fee for all competitors, to be paid in cash at registration on the day. I have read the rules and agree to abide by them and by the rules of the governing body.

Signed by competitor...... Date:......

All tanning which comes off whether same day or otherwise, is not permitted under any circumstances. Official UKBFF tanning company is PROGLOW. Website http://www.proglowtanning.co.uk/ Email: [email protected] UKBFF CATEGORIES FOR QUALIFIERS FOR THE BRITISH MEN CATEGORIES MEN WEIGHT CATEGORIES Junior Men Bodybuilding Up to/Incl 23 yrs Men’s Bodybuilding Up to 70 kg. Junior Men’s Physique Up to/Incl 23 yrs Men’s Bodybuilding Up to 80 kg Rookie Men’s Physique (1st year competing) Men’s Bodybuilding Up to 90 kg. Masters Men Bodybuilding Over 40 years Men’s Bodybuilding Up to 100 kg Masters Men Bodybuilding Over 50 years Men’s Bodybuilding Over 100 kg Master Men’s Physique Over 40 yrs WOMEN CATEGORIES Men’s Physique Up to 178 cm Junior Bikini-Fitness Up to/Incl 23 yrs Men’s Physique Up to 182 cm Rookie Bikini-Fitness (1st year competing) Men’s Physique Over 182 cm Masters Bikini-Fitness Over 35 yrs Muscular Men’s Physique Masters Body-Fitness Over 35 yrs Classic Bodybuilding Up to 178 cm Bikini-Fitness Up to 163 cm Classic Bodybuilding Over 178cm Bikini-Fitness Up to 169 cm Intermediate Up to 80 kg. Bikini-Fitness Over 169 cm Intermediate Up to 90 kg Body-Fitness Intermediate Over 90 kg Women’s Physique Women’s Fitness Women’s Wellness Bikini

Junior Men can compete until the 31st December of the Junior Women can compete until the 31st December of year they become 23 years of age. For 2017, the years the year they become 23 years of age. For 2017, the years of birth should be between 1994 and 2001. of birth should be between 1994 and 2001.

Master Men can compete in the Over 40 Yrs from the 1st of January of the year they become 40 years of age. Master Women can compete in the Over 35 Yrs from the 1st of January of the year they become 35 years of age. Master Men can compete in the Over 50 Yrs from the 1st of January of the year they become 50 years of age.

Extra height or weight classes may be added or classes combined with any category if needed