2019 IFBB PRO LEAGUE PITTSBURGH PRO MASTERS – Entry Form ENTRY - 2019 IFBB PRO LEAGUE PITTSBURGH PRO MASTERS Competitor NumberTHIS IS THE PRO MASTERS EVENT...NOT the amateur event! Use this form to enter the PRO event only, with secure online payment. You will be entered instantly and receive a confirmation. NOTE: This form will not work properly on some MICROSOFT EXPLORER browsers, so please use Chrome, Firefox, Safari or your phone/tablet to submit your entry. Questions: 800-929-3539ENTER YOUR INFO BELOW:The name MUST be the COMPETITOR name. The BILLING ADDRESS must be the address OF THE CREDIT CARD.Competitor Name:* First Last Billing Address (the address on your credit card statement)*YOUR STREET ADDRESS AND ZIP CODE MUST MATCH THE CURRENT ADDRESS WHERE YOU RECEIVE YOUR CREDIT CARD STATEMENT. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Cardholder NameIf the name of the credit card holder who will pay for the entry is different than the name of the competitor, please type cardholder name here.Phone*Email* Enter Email Confirm Email Email Permission*NOTE: You will only receive emails from Gary Udit or my trusted associates in the fitness community. I hereby give permission for Gary Udit and his trusted associates to send me emails about contest and fitness related information. I do not want to receive any emails other than confirmations about events. ANSWER THE FOLLOWING:NATIONAL EVENTS: Enter T-SHIRT SIZE* S M L XL XXL Where did you earn your pro card?*Birthdate of Competitor*All Teen and Masters competitors MUST BRING PROOF OF AGE to athlete check-in. Acceptable ID includes driver's license or other government issued ID (birth certificate, passport, military discharge or state-issued ID card.Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920COMPETITOR HEIGHT*Enter height in format like this: 5'10"COMPETITION WEIGHT*List your expected weight on contest day in this format: 180.50. You will be weighed at check-in, so please just estimate as close to possible.CLASSESDO YOU WANT TO VIEW MEN'S OR WOMEN'S DIVISIONS?Select Men's or Women's Divisions to EnterChooseShow me MEN's divisionsShow me WOMEN's divisionsShow me BOTH men's and women's divisionsCHOOSE CLASSES BELOWSELECT YOUR COMPETITION CLASSES BELOW. Please check each division you wish to enter. If you are not sure which divisions you are eligible to compete in, please review this link for more info, or consult the main info page for the event, available from this linkBIKINI and FIGUREBIKINI PRO Bikini 35 AND OVER PRO Bikini 40 AND OVER PRO Bikini 45 AND OVER PRO Bikini 50 AND OVER FIGURE PRO Figure 35 AND OVER PRO Figure 45 AND OVER PRO Figure 55 AND OVER MEN'S CLASSIC PHYSIQUEFor Classic Physique, CLICK THE DROPDOWN MENU BELOW to select if you fall within the required height/weight ranges for this division.If you DO fall within the required height/weight ranges, you will be prompted to select your classes for Classic Physique.5'4" or Less, ANY WEIGHT up thru 170 lbsOver 5'4" up to 5'5", ANY WEIGHT up thru 175 lbsOver 5'5" up to 5'6", ANY WEIGHT up thru 180 lbsOver 5'6" up to 5'7", ANY WEIGHT up thru 185 lbsOver 5'7" up to 5'8", ANY WEIGHT up thru 192 lbsOver 5'8" up to 5'9", ANY WEIGHT up thru 200 lbsOver 5'9" up to 5'10", ANY WEIGHT up thru 207 lbsOver 5'10" up to 5'11", ANY WEIGHT up thru 215 lbsOver 5'11" up to 6'0", ANY WEIGHT up thru 222 lbsOver 6'0" up to 6'1", ANY WEIGHT up thru 230 lbsOver 6'1" up to 6'2", ANY WEIGHT up thru 240 lbsOver 6'2" up to 6'3", ANY WEIGHT up thru 247 lbsOver 6'3" up to 6'4", ANY WEIGHT up thru 255 lbsOver 6'4" up to 6'5", ANY WEIGHT up thru 262 lbsOver 6'5" up to 6'6", ANY WEIGHT up thru 265 lbsOver 6'6" up to 6'7", ANY WEIGHT up thru 277 lbsOver 6'7, ANY WEIGHT up thru 285 lbsI do not fall within these rangesTHE WEIGHT RANGES for PRO Classic Physique ARE 10 lbs. HIGHER than AMATEUR. Competitors MAY compete in Classic Physique AND crossover to Men BB or Men's Physique.SELECT your classes for Classic Physique below. If you do not fall within this height and weight range at check-in, you will be permitted compete in Men's BB or Men's Physique instead. Classic Physique - 35 and OVER - One Class Classic Physique - 40 and OVER - One Class Classic Physique - 50 and OVER - One Class Classic Physique - 55 and OVER - One Class Classic Physique - 60 and OVER - One Class Sorry, if you do not fall within the height AND weight ranges shown, you cannot compete in Classic Physique. Please choose to compete in MEN'S PHYSIQUE or MEN'S BODYBUILDING elsewhere on this form. Not eligible for Classic Physique BODYBUILDINGWOMEN'S BODYBUILDING PRO Women BB 35 AND OVER MEN'S BODYBUILDING PRO Men BB 40 AND OVER PRO Men BB 50 AND OVER PRO Men BB 60 AND OVER PRO Men BB 70 AND OVER PRO Men BB 80 AND OVER PHYSIQUEWOMEN'S PHYSIQUE PRO Women Physique 35 AND OVER PRO Women Physique 45 AND OVER PRO Women Physique 55 AND OVER MEN'S PHYSIQUE PRO Men Physique 35 AND OVER PRO Men Physique 40 AND OVER PRO Men Physique 45 AND OVER PRO Men Physique 50 AND OVER PRO Men Physique 55 AND OVER REVIEW THE TERMS OF THIS EVENT, AND CLICK BELOW IF YOU AGREETERMS AND CONDITIONSWAIVER In consideration of being allowed to participate in any way in this event (“Event”) promoted by GMU PRODUCTIONS LLC (“Promoter”) and sanctioned by the National Physique Committee of the USA, Inc. (“NPC”), its related events and activities, I, the undersigned, acknowledge, appreciate and agree that: The risk of injury from the activities involved in this Event is significant, including the potential for permanent paralysis and death, and while particular skills, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, I KNOWLINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE PROMOTER AND/OR THE NPC or others, and assume full responsibility for my participation; and, I willingly agree to comply with the stated and customary terms and conditions for participation, if, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the Promoter immediately; and,I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS THE PROMOTER AND THE NPC and each of their officers, officials, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used for the activity (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY DISABILITY, DEATH, or loss or damage to person or property associated with my presence at or participation in or in traveling to and from the Event, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. Relative to my email address, yes, I want to receive email communication from Gary Udit, GMU Productions LLC, or their designated partners with updates on future events, news and fitness/bodybuilding/contest offers. If I wish to opt out of receiving emails about future events and offers, I will inform Mr. Udit at news@garyudit.com or 800-929-3539. Gary Udit and GMU Productions LLC keeps your email secure. All email recipients may easily unsubscribe from the mailing list at any time using a link in the bottom of the email or by sending a request to "news@garyudit.com" with the word UNSUBSCRIBE MY EMAIL in the subject line. And in further consideration of permission being granted to me to participate in the Event and its related events. I hereby grant the NPC, Promoter 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, television motion pictures, video, printing on digital 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 rights granted by me hereunder are granted for the entire universe and shall endure in perpetuity and no further compensation shall be payable to me at any time in connection therewith. Nothing contained herein shall be deemed to obligate the NPC, Promoter, and/or any other NPC-approved video or entertainment organization, to photograph or otherwise reproduce my voice, appearance or name, or to make use of any rights granted herein. I also understand that the aforementioned rights may be reassigned at any time without further consent. I understand that the NPC, the Promoter and/or any NPC-approved video or entertainment organization, are videotaping and photographing the Event in express reliance upon the foregoing, and I represent and agree that I am free to grant the rights granted to the NPC, Promoter and/or any other NPC-approved video or entertainment organization hereunder. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. FOR PARENTS/GUARDIANS OF PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all the Releasees, and, for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES, to the fullest extent permitted by law.CLICK IF YOU AGREE TO THE TERMS:CLICK HERE if you have read and agree to all terms and conditions, and authorize all charges on this entry form, and understand there are no refunds for any reason.*All sales are final. No refunds! YES, I AUTHORIZE ALL CHARGES FOR THIS ENTRY AND AGREE TO ALL TERMS AND CONDITIONS. I understand there are no refunds. TOTAL FEES TO BE CHARGED:TOTAL FEES TO BE CHARGED: The GRAND TOTAL field will calculate after you choose classes and click agreement to terms aboveProcessing Fee*An entry processing fee and service charge of 6.5% is added to your order Price: $0.00 Grand TotalThis grand total includes the divisions you selected plus the entry form processing fee of 6.5%. Charges will appear as GMU PRODUCTIONS LLC on your statement. No refunds. $0.00 ENTER PAYMENT INFORMATIONVISA, Mastercard, Discover or American Express. All Transactions are Secure and will appear as GMU Productions LLC on your statement. YOU MUST ENTER YOUR CREDIT CARD WITH NO SPACES OR DASHES AND YOUR ZIP CODE AND ADDRESS MUST MATCH THE ADDRESS WHERE YOU RECEIVE YOUR CREDIT CARD STATEMENTCredit Card*THE CREDIT CARD MUST MATCH THE ADDRESS WHERE YOU RECEIVE YOUR CREDIT CARD STATEMENT. You must enter your card number WITHOUT any spaces or dashes. American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name SIGN THE FORM BELOW:Sign Electronically*Enter the full name of the competitor, to sign and accept the terms of this registration form. If competitor is a minor, sign by entering parent or guardian's name.Unique Entry IDCLICK NEXT TO REVIEW ENTRY:ALMOST FINISHED: CLICK the "NEXT" button BELOW to review and confirm your choices. Your ENTRY IS NOT COMPLETE UNTIL YOU CLICK SUBMIT on the next page!PLEASE NOTE: This form will not work properly on MICROSOFT INTERNET EXPLORER OR EDGE BROWSERS. If you click NEXT and do not advance to the next page, please use Chrome or Firefox browser instead or phone 800-929-3539 Your entry is almost finished. Please review the information your entered below, and if it all looks correct, click SUBMIT at the bottom to COMPLETE YOUR ENTRY. If there are any changes to be made, click PREVIOUS at the bottom to go back.YOUR ENTRY IS NOT COMPLETE UNTIL YOU REVIEW THIS PAGE AND CLICK SUBMIT AT THE BOTTOM.Some items such as credit card number will not appear below, for security {all_fields}EmailThis field is for validation purposes and should be left unchanged. Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to print (Opens in new window)