Registration - Donna & Brian Logue Provincial Championships

*PLEASE NOTE THAT ATHLETES ARE NOT PERMITTED TO CROSS OVER FROM ONE DISCIPLINE TO ANOTHER WITHIN THE SAME SHOW.

**Registration fee will go up to $175 if registering within one week of the show, unless you qualified the week prior.

***REGISTRATION DOES NOT INCLUDE YOUR ANNUAL ABBA MEMBERSHIP FEES. PLEASE BE SURE TO PURCHASE OR RENEW YOUR MEMBERSHIP BEFORE YOUR SHOW

****Please refer to 'Competition Rules' to determine your weight / height / age class.

First Name:

Last Name:

Age:

Address Line 1:

Address Line 2:

City:	Prov:	Postal:	email:
Home Phone:	Business Phone:

Home Gym Name:

Home Gym Address:

City:

Prov:

Postal:

Business Phone:

Please choose a gender Please choose a gender   Male Female Choose any classes that you plan to compete in (must choose at least one):  Bantamweight Bodybuilding  Lightweight Bodybuilding  Welterweight Bodybuilding  Middleweight Bodybuilding  Light Heavyweight Bodybuilding  Heavyweight Bodybuilding  Super Heavyweight Bodybuilding  Couples' Bodybuilding Choose any classes that you plan to compete in (must choose at least one):  Lightweight Bodybuilding  Middleweight Bodybuilding  Heavyweight Bodybuilding  Couples' Bodybuilding  Tier 2 Figure Short (Up to and including 5'2")  Tier 2 Figure Medium (Over 5'2" and up to and including 5'4")  Tier 2 Figure Medium Tall (Over 5'4" and up to and including 5'6")  Tier 2 Figure Tall (Over 5'6")  Tier 2 Bikini Model Short (Up to and including 5'4")  Tier 2 Bikini Model Tall (Over 5'4")  Provincial Women's Physique

FOR FIGURE AND BODYBUILDING COMPETITORS ONLY: Please indicate when/where you qualified for the Provincials show.

Year:

Show:

Class:

Placing:

Thank yous / Acknowledgements (for example, family, trainer, sponsors, etc.): This information will be used by the show's MC as you are introduced on stage.