NPC Natural Indianapolis
November 9, 2019
Sanctioned NPC National Level  Drug Free 
Qualifying Event
Compete in the best drug free show in the state!
AMAZING awards 
Winners will be deemed mr. and ms. natural indianapolis city champions
Competitive divisions include:
  •  Fitness 
  •  Men’s Bodybuilding  
  •  Men’s Classic Physique  
  •  Men’s & Women’s Physique  
  •  Women’s Figure & Bikini.  
Specialty Awards will be presented, including:
  •   BEST LEGS 
Specialty Awards

Event Prices
  •  $107.00 - One Class
  •  $187.25 - Two Classes 
  •  $267.50 - Three Classes
  •  $347.75 - Four Classes 
  •  Add $75 per additional class
Date: November 9, 2019
Time: Pre-Judging 10:00 a.m.
Evening Show 5:00 p.m.
Doors Open Half Hour Early
Athletes are encouraged to crossover into as many classes as they qualify for
Select number of classes:
Enter Name:
Select type of class(es):
Please check each class you will be competing in!
*Under 18 Participant
Masters (35+)
Masters (45+)
Junior (23 & under) 
Limited Novice*
Open Women's
Master Women's (40+) 
Limited Novice Women’s*
Open Men's
Masters Men's (35+)
Masters Men's (45+)
Junior Men's (23 & Under) 
Limited Novice Men's* 
Open Women's 
Masters Women's (40+)
Limited Novice Womens*
Open Men's Classic 
Masters Men's Classic (40+)
Masters Men's Classic (50+)
Limited Novice Men's Classic* 
Open Men's
Master’s Men's (40+)
Master’s Men's (50+)
Junior Men's (23 & Under) 
Limited Novice Men's* 
Credit Card Number:
CVC Code:
Expiry Month:
Expiry Year:
**I accept the terms and conditions listed at the bottom of this page (required) **
You may check out with a credit card via paypal without a paypal account
*If contestant is of Minority Age, this form must be submitted by a Parent or Guardian. 
For parents/guardians of participants of minority age (Under 18 at the time of registration) This is to certify that I, as a parent/guardian with legal responsibility for this participant, do consent and agree to his/her release as provided above of all Releases, and for myself, my child and our heirs, assigns, and next of kin, I release and agree to indemnify and hold harmless the Releases from any and all liabilities incident to my minor child’s involvement or participation in these programs as provided above, EVEN ARISING FROM THE NEGILIGENCE OF THE RELEASES, to the fullest extent permitted by law.
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Release In consideration of being allowed to participate in any way in the 2019 NPC Natural Indianapolis (*Event) promoted by Jesse Dale (*Promoter) and sanctioned by the National Physique Committee of the USA, Inc. (“NPC”), its related events and activities, the above registrant, acknowledge, appreciate and agree that: 1) 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 2) I KNOWINGLY 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 3) 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 4) 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 (“releases”). 

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 RELEASES OR OTHER WISE to the fullest extent permitted by law. The undersigned consents and agrees that the undersigned will comply with all rules and regulations of LaQuinta Inn including any rules or regulations prohibiting cooking or food preparation in the hotel rooms. The undersigned further agrees that the undersigned will indemnify and hold harmless the NPC and the promoter, Jesse Dale, from and against any damages caused by the undersigned to the hotel or damages to the guest room or rooms occupied or registered to the undersigned. Finally, the undersigned acknowledges that the undersigned’s failure to comply with any rule or regulation of the hotel or damage to any guest room occupied by or registered to the undersigned may result in disciplinary action against the undersigned including, but not limited to, suspension as a member of the NPC and competing in contests sanctioned by the NPC. 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 any other NPC approve video or entertainment organization and all of their agents, successors, licensee 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 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 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 organizations, 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 right granted to the NPC, Promoter and/or any other NPC-approved video or entertainments organization hereunder. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. - All Rights Reserved - Terms Of Service
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