2017 1ST ANNUAL NGA TRI-STATE
CHAMPIONSHIPS
(PRO-QUALIFIER)
SATURDAY MARCH 25, 2017
ELIGIBILITY: ~Amateur athletes registered with the NGA.
~All Athletes are required to take a 7 year drug free polygraph.
~Contest is not limited to amount of entries for both men and women.
PLACE: BLOOMFIELD MIDDLE SCHOOL
60 HUCK ROAD
BLOOMFIELD, NEW JERSEY 07003
ENTRY FEE: non-PROs = $60 Crossover Fees = $40 per additional category
Send Entry Form, Profile Form and Money order or check payable to:
Check made out to Sam Kapoor
Mail to Bloomfield Health food Center
425 broad street
BLOOMFIELD, NEW JERSEY 07003
DEADLINE: MARCH 18, 2017- Postmark date
~ Late fee for entries not postmarked by this date = $75 + entry fee
CROSSOVERS: Contestants may compete in the masters, open and novice categories.
AWARDS: ~High quality trophies and sculptures presented to the first five places and
Overall winners
EVENT TIME: Check in 8:30 am athletes meeting 10:15 am Pre-Judging 12:00 pm & Finals 5:00 pm (doors open at 4:30 pm)
TICKET INFO: ~Pre-Judging $20 & Finals General Admission $40
Trainer/Back Stage-pass $15 plus you must purchase a ticket to enter the auditorium
~Children 12 and under FREE
2017 NGA 1ST ANNUAL TRI-STATE CHAMPIONSHIPS
(PRO QUALIFIER)
SATURDAY, MARCH 25, 2017
INFORMATION FOR COMPETITORS
POLYGRAPH TESTING: 1. All Competitors must be tested Friday MARCH 24, 2017 at Plaza Fitness
2.Fees ($45 cash only) are paid at time of testing directly to the polygraph tester
3. Must make appointment by calling (917) 560-3196
4. Testing will be done at Plaza Fitness, Friday MARCH 24, 2017
5. If you have taken a polygraph within the past 90 days of event, you must provide
Original proof at registration
HOST HOTEL:
MANDATORY- CHECK IN REGISTRATION/WEIGH IN: FRIDAY –12:00 Pm-8:30pm MARCH 24, 2017
PLAZA FITNESS
11 WESTINGHOUSE PLAZA
BLOOMFIELD, NEW JERSEY 07003
COMPETITORS MEETING: 10:15 am SHARP at Bloomfield Middle School/Bloomfield, NJ 07003
PRE-JUDGING: 12:00 pm SHARP (Athletes Check-in 8:30 am)
FINALS: 5:00 pm (doors open at 4:30 pm)
PROFILE: Complete and return attached profile sheet with entry form
MUSIC: Contestants must bring a CD or cassette tape preset to a maximum of 60 seconds.
Iftape is not set, the DJ will play substituted music. All pro contestants will pose in
Theevening show
TRAINERS: Must purchase a back stage pass and admission ticket that will get them back stage
and in the auditorium to view the show. Only 1 trainer allowed back stage.
A. The definition and rulings of a novice are:
1. a competitor that has not placed in the top 3 in an open division of any organization;
2. a competitor that has not won 1st place in a novice division of any organization;
3. a novice competitor can crossover to the open division and vice versa; and
4. a master or couple can crossover into the novice or open division, but not both.
B. This show entitles class winners in the open division bodybuilding and overall figure winner to turn pro.
(5 competitors equal a valid class).
C. Promoters have the option of canceling any class for an insufficient amount of competitors;
D. Promoters have the option of splitting a division that has a total of 10 or more athletes.
For example, if the teen division has 10 competitors, the Promoter can divide this class into two calling them "Teen "A" and "B". This division should be worked out as evenly as possible either by age, weight, or height. Promoters should look at all entry forms and decide which way to go. It is the Promoter's option whether or not to do an overall of "Teen A" and "Teen B".
2017 FIRST ANNUAL NGA TRI-STATE CHAMPIONSHIPS
(SUPER PRO QUALIFIER)
SATURDAY MARCH 25, 2017
MEN’s DIVISIONS ENTRY FORM WOMEN’s DIVISIONS
______MEN’s BODYBUILDING OPEN WEIGH-IN _____WOMEN’s BODYBUILDING OPEN
___ A) Lightweight: 156.25& under ______A) up to 112.25 lb
___ B) Middleweight over 156.25 up to 172.25 ______B) over 122.25 lb
___ C) Light heavyweight over 172.25 to 189.25 ______OPEN BIKINI
___ D) Heavyweight over 189.25 ______(A) SHORT ____ (B) TALL
______FIRST TIMERS MEN’s- one class ______FIRST TIMERS WOMEN’s- one class
___ Men’s Bodybuilding ___ Figure
___ Men’s Physique ___ Bikini
___ BB
______MEN’s MASTERSBB (must show ID) ______WOMEN’s FIGURE MASTERS (ID)
___ A) age 35to 45 ___ A) age 35-45
___ B) age 46to 55 ___ B) age 45-55
___ C) age 56 to 60 ______Master Bikini 35+
___ D) Grand Masters 60+ ______NOVICE BIKINI- ONE CLASS
______MEN’s NOVICE BODYBUILDING
One Class ______Open Figure
______MEN’s PHYSIQUE OPEN ______Short Tall____
___ A) LT 156.25
___ B) M over156.25 to 172.25 ______Open Women Physique
____C) H over 172.25
______Men Classic Physique ______Bikini model
One Class One Class
Name______ProCard#(if applicable)______
Address______
Phone______Weight______Birth date______Age______
E-Mail______Facebook______
WAIVER: In consideration of your accepting this entry, I hereby intend to be legally bound for myself, my heirs, executors and administrators, and waive and release any and all rights and claims for damages I may have against Pete Diaz (NGA)Bloomfield Middle School, Bloomfield, New Jersey, and any and all sponsors, agents, representatives and assigns for any and all injuries and/or losses suffered by me as a result of my participation and/or attendance at the March 25, 2017 1st Annual NGA Tri-State Championships
______
Contestant signature signature of guardian if contestant is a minor date
20171st Annual NGA Tri-State Championships
(SUPER PRO QUALIFIER)
SATURDAY, March 25, 2017
Profile for the MC to News Media – return with entry form
Name______Contestant#______
Division(s)______
Weight/ Height Class______
Town & State Representing ______
Club/Gym Representing______
Previous Titles Won ______
Age______Trainer______
Special Thanks/ Other Comments/ Hobbies