Registration: 2010 NPC Last Frontier State Championships

Registrant Information
First Name: Last Name: Age:
Address:
City: State: Zip:
Phone: Occupation:
Title & Interest
E-mail:
Gym Name:
Gym Address:
Team Representing:

Please check competition entered:
Men's (BODYBUILDING)
Bantam (143 1/4 and under)
Light (Over 143 1/4 up to 154 1/4 lbs.)
Middle (Over 154 1/4 to 176 1/4 lbs.)
Light-Heavy (Over 176 1/4 to 198 1/4 lbs.)
Heavy (Over 198 1/4 to 225 lbs.)
Women's (BODYBUILDING)
Light (up to and including 125 lbs.)
Middle (Over 125 up to and including 140 lbs.)
Heavy (Over 140 lbs.)
Master's Men (Over 40)
Junior Men (20 & under)
 Figure
Under 5-04
Over 5-04 		Your Height in inches:
Master's Women (BODYBUILDING)
Over 35 		Womens Bikini
Under 5-04
Over 5-04
Mixed Pairs:
Pairs Partner:  		Fitness: 
In consideration of 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 (NPC) of the USA Inc., the International Federation of Body Building (IFBB),The Egan Center, Alaskfit LLC, Weider Publications and their agents and representatives, for any and all injuries suffered in connection with this NPC/AlaskaFit Production and in traveling to and from them. I further agree to hold harmless and waive and release all photo rights for media (television, magazines, newspapers and websites) to Alaskafit Productions, for the purpose of promoting Bodybuilding, Fitness and Figure through the sale of videotapes, photos and any network, cable or local television airing. I also understand if time dictates, only the top five in each class will perform their routines at the evening show.

Check here if you agree
Submit your registration, along with your registration fee now. Please choose your division:
Standard Fee ($50)
Teenage Fee ($25)
Couples Fee ($25)