Application Form

Entry Form

First Name

Last Name

Address

City

State

Zip (5-digit)

Phone

E-Mail

Age

Height

Weight

Gym Representing

Titles Won

DIVISIONS	CLASSES
Teen Men	-----
Men	Lightweight: To 156 ¼ Lbs. Middleweight: Over 156 ¼ To 172 ¼ Lbs. L/Heavyweight: Over 172 ¼ to189 ¼ Lbs. Heavyweight: Over 189 ¼ Lbs. Men's Masters—40 and Over Men's Masters—50 and Over Men's Grand Masters—60 and Over
Women	Lightweight: To 112 ¼ Lbs. Middleweight: Over 112 ¼ To 122 ¼ Lbs. Heavyweight: Over 122 ¼ Lbs. Women's Masters—40 and Over
Novice (See Rulings)	Men Women
Ladies Figure —2 Piece Swimsuit (See Rulings for Judging Criteria)	Ladies Figure Ladies Masters Figure—40 and Over Ladies Masters Figure—50 and Over
Miss Bikini Midwest	-----

Biography/Thank-you's (limit 30 words)