Registration Form

Registration Form
*
*
*
*
*
*
*
*
*
*
*
*
*
*
If you need to purchase your NGA membersip card, Go to http://national-gym.myshopify.com/collections/membership
There is no limit to how many divisions a competitor can crossover into.
Debut is for first time competitors only.
Please provide whatever information you would like people to know about you in this section.
Please select complimentary T-shirt size. You will qualify to receive special discounted official show hoodie, if registering prior to June 1st and for 2 or more paid classes, excluding Debut, while supplies last.
*
All entries and payments must be received by May 31st to guarantee inclusion in the show program. No refunds after June 1st. All entries after May 25th will be charged a $25 late fee & $50 after May 30th, in addition to entry fees.
*
You may pay either via PayPal or send a personal/cashier's check/money order. Once the form is submitted you will receive an email with your total and either a link to PayPal or the address to send in payment.
*
All competitors must have passed a polygraph exam within 90 days prior to show date with a 7 years drug-free requirement.
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 the competition venue, show promoter and any sponsors for any injuries and/or losses suffered by me as a result of my participation and/or attendance at the 2018 USA CHAMPIONSHIPS. I agree to accept the results of polygraph and drug test. I also agree to the release drug test information. If I request any further investigation it will be at my own expense.
*