Name:

Age Ht: Wt:

Address:

City: State: Zip:

Phone (h):(msg):

Gym Affiliation:

Occupation:

Previous Titles / Accomplishments/Fitness Interests/Goals:

Special Thanks:

Entry Fee (on or before 9/1/01):_____$40.00

Late Entry Fee (after 9/1/91)________$60.00

All Entries Close 9/21/01, however the earlier you register the more time you will have to prepare for the competition and you will be assured of receiving contest updates.

Checks may be made payable to: Hawaiian Hurricane's Charities

Please submit this registration form with entry fee and a photograph to:

P.O. Box 971281

Waipahu, HI 96797

* In consideration of your promotions, acceptance of this entry, I hereby, for myself, heirs, executors and administrators, and my assignees, waive and release all rights and damages I may have against The Hawaiian Hurricane's Ms. Fitness Challenge, the host locations, the sponsors, vendors, their representatives and assignees, for any and all injuries incurred by me in conjunction with this competition and traveling to and from it. I also release rights to use photographs and video tapes of said competition for future use and resale for advertising of said competition or for future use or resale by The Hawaiian Hurricane's Ms.Fitness Challenge.

The Hawaiian Hurricane's

Ms. Fitness Challenge

P.O. Box 971281

Waipahu, Hawaii 96797

Ph. (808) 224-7491 / Fax: (808) 671-5229

Email: Chris@faildo.com