NPC SPACE COAST CLASSIC 2009
                                                            NPC Sanction Number 10813
2009  NPC Space Coast Classic bodybuilding, Fitness ,
Women’s Figure Championships.

This contest is sanctioned by the NPC; it is open to all NPC members in the United States. All contestants must be registered
by the NPC. You may register at the time of weigh in. The NPC sanction fee is $85.00. Crossovers will be permitted in all
Divisions.
Where: Melbourne Auditorium 625 Hibiscus Blvd. Melbourne , Florida
Host Hotel: Tides Hotel Waterfront,964 S. Harbor City Blvd. ( RT 1) Melbourne
321-821-9382  fax 321-728-7183
Entry Fee: $50.00 entrance fee ,crossovers will be allowed.
Weigh in: will be Friday night at host hotel   6:00pm- 9:00 pm
All contestants must be in posing suits or fitness suits  at weigh in ,with proof of age.
Athlete Meeting: will be 9:00am at the show venue.
Posing Music: No Profanity on music, you will be automatically disqualified. Music must be cued on CD for 90 second
routines. Music will be collected at the weigh in.
All Competitors will pose in the finals.
Prejudging Time: 10:00am ……..Door’s Open at 6:00pm ….Finals 7:00pm

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FILL OUT  COMPLETELY AND NEATLY:

Name: ______________________________Age:_____Height______Weight________

Address:________________________________________________________________

Phone:_____________________________  E-Mail:_____________________________

Gym:_____________________________ NPC Card # __________________________

List All NPC  Competitions
Overall? Year ___________________________________________________________

Please check the class you are entering:  ( Top 5 Places in the Open)

Teenage Men’s Bodybuilding                                   Women’s Fitness
____15-17  two classes                                             ____  Short class (5’3 & under)
___  under  176 ¼                                                     
____ over 176 1/4                                                     -____ tall class  (over 5’3 )
                                                    
----- 18-19class  two classes                                       Women’s Fitness Novice
____ under 176 ¼                                                       ____   one class
____ over 176 1/4                                               

Men’s BB Open (5 places)                                          Women’s Figure
____ Bantamweight ( 143 ¼ and under)                 ____ short class ( under 5’ 4)
____  lightweight ( 143 ¼ to 154 ¼)                         ____ medium class ( 5’4 to 5’6)                    
____ welterweight ( 154 ¼ to 165 ¼)                       ____ Tall Class  (above 5’6 )                             
____ middleweight (165¼ to 176 ¼)                        ____ over 30 ( one class )                 
____ light heavyweight ( 176 ¼  to 198 ¼)              ____  over 40 ( one class          
____ Heavyweight (198 ¼ to 224 ¼)                         
____ Super heavyweight ( above 224 ¼)                               
                                                             


                    
Men’s BB Over 40  (5 places)                                    Women’s bodybuilding(5 places)
_____ middle weight (154 ¼ to 176 ¼)                          (three classes)
_____ light heavyweight ( 176 ¼ to 198 ¼)                ___ lightweight ( 115 & under)
_____ heavyweight ( 198 ¼ to 224 ¼ )                        ___ middleweight ( 115 to 125)
_____ Super Heavy ( above 224 ¼)                            ___ light heavy  ( 125 and above)

Men’s BB Over 50 ( 5 places )                                   Men’s BB Novice                     
_____  one class                                                           ____ Under 176 ¼
-                                                                                     ____ Over  176 ¼
Men’s BB Over 60 ( 5 places)
_____  one class


In consideration of your accepting this entry, I, hereby intending to be legally bound for myself, my heirs, executors or
administrators, waive any and all right and claim for damages I may have against the National Physique Committee of the
USA Inc. (NPC),Synergy Advanced Nutrition .and their agents , Andrew Wood,, Melbourne Auditorium, Tides Waterfront  
Hotel,  the sponsors and them or their agents, representatives and assignees for any and all injuries suffered by me at said
NPC Space Coast Classic Championships and in travel to and from said contest. I hereby grant the promoters and their
agents and 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, video, printing or any other medium now
known 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 undersign consents and agrees to comply with all rules and regulations prohibiting cooking or food preparation in the
hotel rooms. The undersigned further agrees to indemnify and hold harmless the NPC and Synergy Advanced
Nutrition from any damages caused by the undersigned to Tides Hotel Waterfront or to any guest room occupied  or
registered to the undersigned may result in disciplinary action against the undersigned including, but not limited to
suspension as a member of the NPC and /or competing in contest sanctioned by the NPC

Send payment to                            SIGNATURE_______________________
Synergy Advanced Nutrition    PARENT/GUARDIAN
7777 N. Wickham  Rd               FOR MINOR:_____________________________
#12 -315 -
Melbourne, Fl.32940                 DATE:   ___________________________