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Online Entry Form

2008 London & Western Ontario Bodybuilding, Fitness & Figure Championships - Level 1 & 2
November 15, 2008

Centennial Hall
550 Wellington St.
London, ON

All information will be e-mailed to you once entry is received.

Please fill out all the fields. It is important to have a complete entry form.

For competitors entering more than one class -- you must fill out a separate entry form for each class.

Competition

Name and E-Mail Contact

First Name:
Last Name:

Male or Female:

Age on Competition Date:

Your E-Mail Address:

Address Information

Street:
City:
Province:	Ontario
Postal Code:
Phone Numbers
Home Number:
Work Number:
Fax Number:

What is your class?
(please note: if you are entering more than one class please fill our a complete entry form for each class you wish to participate in.)

Select Your Competition Class

Level 1 London Championships

Lightweight Men (under 154lbs.)
Middleweight Men (154-176lbs.)
Light Heavyweight Men (176-198lbs.)
Heavyweight Men (over 198lbs.)
Lightweight Women (under 124lbs.)
Heavyweight Women (over 124lbs.)
Figure Short (up to and including 158cm)
Figure Medium (up to and including 163cm)
Figure Medium-Tall (up to and including 168cm)
Figure Tall (over 168cm)

Level 2 Western Ontario Championships

Lightweight Men (under 154lbs.)
Middleweight Men (154-176lbs.)
Light Heavyweight Men (176-198lbs.)
Heavyweight Men (over 198lbs.)
Masters Men (40-50 years)
Grandmasters Men (over 50 years)
Junior Men (under 21 years)
Lightweight Women (under 124lbs.)
Heavyweight Women (over 124lbs.)
Figure Short (up to and including 158cm)
Figure Medium (up to and including 163cm)
Figure Medium-Tall (up to and including 168cm)
Figure Tall (over 168cm)
Masters Figure (over 35 years)
Grandmasters Figure (over 45 years)
Masters Women (over 35 years)

List any Sponsors or People you wish to thank during the show
(use all three lines if necessary)

Agreement

In consideration of your accepting this entry, I hereby for myself, my
heirs, executors, and administrators waive and release any and all rights and claims for damages I may have against ONTARIO PHYSIQUE ASSOCIATION and their respective agents, officials, committees and representatives, or the management of the contest venue or hotel, for any and all injuries, thefts or losses which may be suffered by me at said bodybuilding competition. I have read and understand the fact sheets, and agree to abide by all rules and regulations enforced by the contest officials.

Members are advised that ONTARIO PHYSIQUE ASSOCIATION prohibits the use of any performance-enhancing substances. ONTARIO PHYSIQUE ASSOCIATION has instituted a program of random drug testing and reserves the right to request a competitor to present him/herself at any time for an approved doping control test. Failure to appear or refusal to submit to the test will result in the same penalty as a positive test result. Penalties for positive test results include suspension of membership from the ONTARIO PHYSIQUE ASSOCIATION. Entry fee payment of thirty dollars cash (for level 1) and forty dollars cash (for level 2) is due at registration.

By submitting this online entry, you agree to the above conditions. You also agree to abide by the OPA (Ontario Physique Association) rules.

If this form does not work please e-mail jamorent@gmail.com

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