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* 1. First Name:

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* 2. Last Name:

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

Date

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* 4. NPAA Membership #: 

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

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

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* 7. Contest History:

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* 8. Phone (Daytime):

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* 9. Phone (Nighttime): 

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* 10. Address:

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* 11. City: 

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* 12. Province/State: 

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* 13. Postal Code: 

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* 14. Country: 

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

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

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* 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.

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* 18. Men's Bodybuilding:

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* 19. Men's Physique:

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* 20. Men's Classic Physique:

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* 21. Women's Figure:

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* 22. Women's Fitness Model:

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* 23. Women's Bikini Model:

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Image

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

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* 25. Method of Payment (Select One):

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* 26. 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.

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NPAA Photography and Video Release Form

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

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

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* 28. Purchase Photography Package:

NPAA MEMBERSHIP FORM

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Image

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

T