* 1. First Name:

* 2. Last Name:

* 3. Date of Birth (MM/DD/YYYY):

DOB
/
/

* 4. NPAA Membership #: 

* 5. Contest Weight (MEN) lbs - Please write N/A if this does not apply to you 

* 6. Height in Feet & Inches (Men & Women):

* 7. Contest History:

* 8. Phone (Daytime):

* 9. Phone (Nighttime): 

* 10. Address:

* 11. City: 

* 12. Province/State: 

* 13. Postal Code: 

* 14. Country: 

* 15. Email (Mandatory to receive info prior to NPAA Events): 

* 16. Backstage Helper FULL Name (If "none" please indicate):

* 17. Special Thanks To (20 words or less to be read by emcee):

PLEASE READ CAREFULLY
Division(s) Entering (Check Off - TOTAL MAXIUMUM OF 2 )
*****(If you are registering for 2 please make sure you are paying for the crossover entry fee of $50 +GST)*****
* All classes are subject to change based on # of competitors. Refer to "Rules and Regulations" section of npaa.ca to determine Division Eligibility.

* 18. Men's Bodybuilding:

* 19. Men's Physique:

* 20. Women's Figure:

* 21. Women's Fitness Model:

* 22. Women's Bikini Model:

Image

* 23. Please choose one option as listed above (PLEASE NOTE: By selecting an answer on this survey, you are NOT being charged the amount)

* 24. Method of Payment (Select One):

* 25. NPAA DRUG TESTING WAIVER AND AGREEMENT. By selecting "I agree" - I agree to abide by all of the details outlined in the NPAA Membership agreement. I have read, understood, and agree to all terms included in this document and the Membership Agreement.

NPAA Photography and Video Release Form

<span style="text-decoration: underline; font-size: 14pt;">NPAA Photography and Video Release Form</span>

* 26. By selecting "I agree" - I have read, understood, and agree to all terms stated above in the Photography and Video Release Form

* 27. Purchase Photography Package:

NPAA MEMBERSHIP FORM

Image

* 28. By selecting "I agree" - I have read, understood, and agree to all terms included in this document:

T