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2012 MHP N.P.C. Mid-Atlantic Natural Classic
Bodybuilding & Fitness Championship
Full Name
Street Address
City State Zip
Phone E-Mail
Training Gym Age
Titles, Hobbies,
Accomplishments

ENTRY FORM

DIVISION / WEIGHT CLASS (A-E)* CROSSOVER?
NOVICE MEN B C D E
OPEN MEN *NQ A B C D E
Women’s Physique A B
BIKINI -Under 5’4” *NQ BIKINI – Over 5’4” *NQ
TEENS – MEN FIRST-TIMERS – MEN
MASTERS MEN 35 to 45 MASTERS MEN 46 & Over
WOMEN’S FIGURE -UNDER 5’4” *NQ WOMEN’S FIGURE- OVER 5’4” *NQ
MASTERS FIGURE 35 & OVER *MEN’S PHYSIQUE *NQ
* N.Q. IS A NATIONAL QUALIFIER

OPEN AND NOVICE MEN (OPEN MEN’S CLASS IS A NATIONAL QUALIFIER)
A. BANTAM (OPEN ONLY): up to 143 ¼
B. LIGHTWEIGHT: 143 ¼ up to and including 154 ¼
C. MIDDLEWEIGHT: over 154 ¼ up to and including 176 ¼
D. LIGHT HEAVYWEIGHT: over 176 ¼ up to and including 198 ¼
E. HEAVYWEIGHT: over 198 ¼ up to and including 225

WOMEN’S PHYSIQUE NATIONAL QUALIFIER
A. UNDER - 5’4”
B. OVER – 5’ 4”

LIABILITY RELEASE
I agree to waive and release any and all rights and claims for damage arising from the described
contest. In consideration for your acceptance of this entry, the waiver and release extends to the
East Brunswick High School; the chairman, John Kemper; the National Physique Committee of
New Jersey; the Association and their agents, Vin Raritan & Ron Capodanno Productions of North
Brunswick, NJ and their representatives as well as officials of the 2012 Mid-Atlantic Natural
Bodybuilding and Fitness Championship.

SIGNATURE

PARENT SIGNATURE (if minor)

A Raritan & Capodanno Production
2012 MHP N.P.C. Mid-Atlantic Natural Classic
Bodybuilding & Fitness Championship
IMPORTANT INFORMATION
KEEP THIS PAGE!!!!!!!

TO ENTER: Send MONEY ORDERS ONLY
(Checks will be returned!)
VIN RARITAN
2227 US Highway 1 -- Suite 305
North Brunswick, NJ 08902
(732) 940-0494
WWW .NJNPC.COM

DATES /TIMES/ LOCATIONS
SHOW DATE MAY 12 , 2012

EARLY ENTRY DEADLINE May 1
POLYGRAPH TESTING May 10 & 11 3:00 – 9:00 PM
World Fitness
Out-Of-State Competitors May 12 7:00 – 9:00 AM
World Fitness

WEIGH-IN & NPC CARDS May 12 9:00 AM SHARP
(BRING TRUNKS) East Brunswick High School

PREJUDGING May 12 11:00 AM SHARP
East Brunswick High School

NIGHT SHOW May 12 6:00 PM Doors Open
6:30 PM Show Begins
East Brunswick High School

FEES
$35*Early $50* After May 1
ENTRY (*Per Division*) NO Refunds
$75 Day of Show
POLYGRAPH TESTING (Due at testing time) $40

NPC CARD (May purchase on day of event) $100 (Annual)

REMEMBER --
 ALL BODYBUILDERS MUST BE POLYGRAPH TESTED
 EVERYONE MUST HAVE AN NPC CARD
 BRING YOUR TRUNKS & SUITS TO WEIGH-INS
 MAKE SURE YOUR TAPE OR CD IS CUED UP & LABELED
MINUTE LENGTH. (NO PROFANITY!!)
 TEENS AND MASTERS MUST BRING PROOF OF AGE!!!

A Raritan & Capodanno Production
2012 MHP N.P.C. Mid-Atlantic Natural Classic
Bodybuilding & Fitness Championship
!!!!!!!!! KEEP THIS PAGE !!!!!!!!!
IMPORTANT INFORMATION
LOCATION: East Brunswick High School
380 Cranbury Road East Brunswick, New Jersey

HOTEL: List of Hotel’s in the area if you need to get rooms .Comfort Suites
(732) 967-1505. Motel 6 (732)-390-4545 Day’s Inn (732)-828-6900

DRUG TESTING REQUIREMENTS
PURE CLASS: For novice men’s weight class ONLY. To compete, you must be tested as
free from steroid and diuretic use for (5) Years or more from the date of the
show.
OPEN MEN: To compete, you must be tested as free from steroid and diuretic use for
(1) year or more from the date of the show.
*WOMEN’S PHYSIQUE
& OTHER CLASSES: To compete, you must be tested as free from steroid and diuretic use for
(3) years or more from the date of the show.* (Men’s Physique) class will
be open to more than One Class depending on turn out day of show.

WOMEN’S FIGURE & All Women’s Figure and Bikini Classes are NOT drug tested.
BIKINI:

AWARDS: All competitors Official show T-shirt
First 5 places in each class Neils Anderson Statues

OVERALL Awards NPC RINGS
Nylon Belt
Show Jacket

Open Men OVERALL winner $250.00 toward travel expenses to the
2012 Team Universe

MEDIA: Publication in Ironman Magazine, NPC News, and others.
DIRECTIONS TO HOTEL AND HIGH SCHOOL
(PLEASE MAP OUT AREA BEFORE TRAVELING. IT ELIMINATES STRESS.)

To WORLD FITNESS: Take NJ Turnpike to Exit 9. Pay Toll and stay Left to Rt.18 south (South
River/East Brunswick). Take Rt.18 for about 1.3 miles to Tices Lane, make right turn onto Tices
Rd
Lane. Go 3 traffic lights Tices Lane will become Washington Ave. At 3 Light Hess Gas On your
right. Make right onto North Main Street Street go ¼ mile World Fitness is on your right.

FROM WORLD FITNESS TO SCHOOL: Make left into North Main Street. This will turn into south
th
main and then Milltown Road. Go 6 traffic lights, After 6 light stay straight and you will turn back
onto Rt 18. There will be a Raceway Gas Station , Immediately after this, turn right onto Cranbury
Road exit ramp. Go ½ mile on Cranbury Road to first traffic light. Make a left turn to enter East
Brunswick High School.

To HIGH SCHOOL: Take NJ Turnpike to Exit # 9. Stay left for Rt.18 South East Brunswick. Go
approximately 2.5 miles and you will see a Raceway gas station. Immediately after this, turn right
onto Cranbury Road exit ramp. Go ½ mile on Cranbury Road to first traffic light. Make a left turn to
enter East Brunswick High School.

A Raritan & Capodanno Production
2012 MHP N.P.C. Mid-Atlantic Natural Classic
Bodybuilding & Fitness Championship
TICKET PRICES

Platinum VIP $55.00 1st & 2nd row center – Directly Behind Judges
(includes prejudging) ONLY 24 Available!!

VIP $35.00 Rows 4 – 13
(includes prejudging)

General Admission $30.00 Rows 14 – back

Prejudging Only $15.00 No advance sales – At door only

Backstage Pass
P/J-G/A-Ticket $65.00 Backstage/Prejudging/General Admission

IMPORTANT PLEASE READ !!
Advance ticket orders must be received by May 4, 2012. Money Order Only and
a self-addressed, stamped envelope. Also include a note with a list of the services
you will be paying for. NO CHECKS! Mail to Vin Raritan, 2227 US Highway 1,
North Brunswick, NJ 08902. Tickets may also be purchased in person at World
Fitness, 23 North Main Street, Milltown, NJ 08850. 732-828-4004. Backstage Pass
you will need to give us the person’s FULL NAME with PAYMENT IN FULL. Only
One Person will get a Backstage Pass .Their Badge will be at the Credential’s
Table. It will be under the Competitor’s name. The Backstage Pass is a Badge.
This is for the backstage and their ticket for the whole day of the Event . If they
lose it, there is a $ 25.00 Charge for a new one. Also with ID to show it was the
person that it was ORIGINALLY handed to. Just REMEMBER-- NPC Cards DON’T
get sent to us. And the POLYGRAPH TEST gets paid at time of test.!! You need
Only ONE Money ORDER For your Entry Form, Tickets, & Backstage Passes.

ALL TANNING, MAKEUP AND COMPETITOR PREPARATION’S WILL BE
DONE BY GINA TROCHIANO FROM GLAM SQUAD. PHONE (732) 685-
3445 E-MAIL GINAT@GINATLLC.COM WEB SITE: GINATLLC.COM
CONTACT HER FOR APPOINTMENTS. SHE IS THE OFFICIAL TANNING
AND MAKEUP SERVICE FOR THE EVENT.

A Raritan & Capodanno Production