QR's Elite Fitness Center - Elite Muscle Classic Entry Form

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0 height="100%"><tr> <td valign="top" width=365 BGCOLOR="#009933" TEXT="#080000"> <div> <B>Statement on Entry Form:</B></div> <div> <B>IN CONSIDERATION OF YOUR ACCEPTANCE OF THIS ENTRY:</B></div> <div> I hereby, intending to be legally bound for myself, my heirs, executors or administrators, waive any and all rights and claims for damages I may have against National Physique Committee of the USA, Quincy Roberts, Elite Fitness Center, Carolina Fitness & Nutrition, Carolina Theatre, their agents, representatives or assignees for any and all injuries suffered by me at said physique contest or to and from said physique contest.  By signing this form I affirm that I am an amateur athlete in good standing and meet all requirements set by the Physique Committee and Association Committee for the contest I am applying to enter.</div> <bR> <div> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="323" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 33 ><NOBR><div> <B>Note:</B></div> </NOBR></tD> <tD VALIGN=TOP WIDTH="285"><div> <B>Form must be signed by Parent or Guardian if you are under the age of 18.</B></div> </tD> </tR> </TABLE></div> <div> <B>  </B></div> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <bR> <DIV ALIGN="LEFT"></DIV> <div>   <div align="center"> <div style="width:128px;padding:2px;border:1px solid #cccccc;background-color:#f9f9f9;color:#000000;font:bold 11px verdana;"> Visitors:  <script language="JavaScript" type="text/javascript" src="http://pub18.bravenet.com/counter/code.php?id=340000&usernum=1526881943&groupnum=18&cpv=2"></script>  </div></div>  </div> <div> <B>  <script type="text/javascript" language="JavaScript">var site="s10elitefitness"</script> <script type="text/javascript" language="JavaScript1.2" src="http://s10.sitemeter.com/js/counter.js?site=s10elitefitness"> </script> <noscript> <a href="http://s10.sitemeter.com/stats.asp?site=s10elitefitness" target="_top"> <img src="http://s10.sitemeter.com/meter.asp?site=s10elitefitness" alt="Site Meter" border=0></a> </noscript>    </B></div> <div> <TABLE BORDER="0" CELLPADDING="0" CELLSPACING="0" WIDTH="593" BORDERCOLORLIGHT="#C0C0C0" BORDERCOLORDARK="#808080" FRAME="BOX" RULES="ALL" HSPACE="0" VSPACE="0" > <tR> <tD VALIGN=TOP HEIGHT= 40 WIDTH="385"><bR> <bR> </tD> <tD VALIGN=TOP WIDTH="208"><IMG BORDER="0" SRC="1x1.gif" HEIGHT="40" ALIGN="bottom" WIDTH="208" HSPACE="0" VSPACE="0"></tD> </tR> </TABLE></div> <bR> <bR> </td> <td valign="top" BGCOLOR="#FFFFFF" TEXT="#080000"> <bR> <div> <IMG SRC="cbe5a590.jpg" border=0 width="346" height="857" ALIGN="BOTTOM" HSPACE="0" VSPACE="0"></div> <bR> <div> <A HREF="http://www.qrelite.com/competition/ac" TARGET="_top" TITLE="http://www.qrelite.com/competition/ac"><U><B>About the Competitions</B></U></A><B>     </B><A HREF="index.htm" TARGET="_top" TITLE="Quincy Roberts Elite Fitness Center Eli"><U><B>Elite Muscle Classic</B></U></A><B>     </B><A HREF="elite_muscle_classic___detailed_information.htm" TARGET="_top" TITLE="Quincy Roberts Elite Fitness Center Eli"><U><B>Detailed Information</B></U></A></div> </td> </tr></table></body>