Bodybuilding Work Out Sheet
Bodybuilding Work Out Sheet
Bodybuilding Work Out Sheet
1 Print it.
2 Sign it.
3 Fold it.
4 Mail it.
x
x
Mr.
Weedens
Jeffrey
04/25/1981
Brooklyn
(917) 754-0416
564961365
Republican
NY
11210
Jeffrey Weedens
1297 Rogers Ave
Brooklyn, NY 11210
General Instructions
Who Can Use this Application
If you are a U.S. citizen who lives or has an address
within the United States, you can use the application in
this booklet to:
Exceptions
Please do not use this application if you live outside
the United States and its territories and have no home
(legal) address in this country, or if you are in the
military stationed away from home. Use the Federal
Postcard Application available to you from military
bases, American embassies, or consular offices.
New Hampshire town and city clerks will accept this
application only as a request for their own absentee
voter mail-in registration form.
North Dakota does not have voter registration.
Wyoming law does not permit mail registration.
How to Find Out If You Are Eligible to Register to
Vote in Your State
Each State has its own laws about who may register and
vote. Check the information under your State in the
State Instructions. All States require that you be a United
States citizen by birth or naturalization to register to vote
in federal and State elections. Federal law makes it illegal
to falsely claim U.S. citizenship to register to vote in any
federal, State, or local election. You cannot be registered
to vote in more than one place at a time.
Revised 03/01/2006
Application Instructions
Before filling out the body of the form, please answer the questions on the top of the form as to whether you are a
United States citizen and whether you will be 18 years old on or before Election Day. If you answer no to either of these
questions, you may not use this form to register to vote. However, state specific instructions may provide additional
information on eligibility to register to vote prior to age 18.
Box 1 Name
Put in this box your full name in this order Last,
First, Middle. Do not use nicknames or initials.
Note: If this application is for a change of name, please
tell us in Box A (on the bottom half of the form) your
full name before you changed it.
Box 9 Signature
Review the information in item 9 in the instructions
under your State. Before you sign or make your mark,
make sure that:
Box 6 ID Number
Federal law requires that states collect from each
registrant an identification number. You must refer to
your state's specific instructions for item 6 regarding
information on what number is acceptable for your
state. If you have neither a drivers license nor a social
security number, please indicate this on the form and a
number will be assigned to you by your state.
Revised 03/01/2006
State Instructions
Alabama
Updated: 03-01-2006
Alaska
Updated: 03-01-2006
Arizona
Updated: 03-01-2006
State Instructions
7. Choice of Party. If you are
registered in a political party which
has qualified for ballot recognition,
you will be permitted to vote the
primary election ballot for that
party. If you are registered as an
independent, no party preference
or as a member of a party which is
not qualified for ballot recognition,
you may select and vote one
primary election ballot for one of
the recognized political parties.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Arizona you must:
be a citizen of the United States
be a resident of Arizona and your
county at least 29 days preceding
the next election
be 18 years old on or before the
next general election
not have been convicted of
treason or a felony (or have had
your civil rights restored)
not currently be declared an
incapacitated person by a court
of law
Mailing address:
Secretary of State/Elections
1700 W. Washington, 7th Floor
Phoenix, AZ 85007-2888
Arkansas
Updated: 03-01-2006
California
Updated: 03-01-2006
State Instructions
Colorado
Connecticut
Updated: 03-28-2008
Updated: 03-01-2006
Registration Deadline 29
days before the election. If the
application is received in the mails
without a postmark, it must be
received within 5 days of the close
of registration.
6. ID Number. Connecticut
Driver's License Number, or if
none, the last four digits of your
Social Security Number.
7. Choice of Party. This is
optional, but you must register
with a party if you want to take
part in that partys primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Connecticut you must:
be a citizen of the United States
be a resident of Connecticut and
of the town in which you wish to
vote
be 17 years old. You can vote
when you turn 18
have completed confinement and
parole if previously convicted of a
felony, and have had your voting
rights restored by Registrars of
Voters.
not currently be declared mentally
incompetent to vote by a court of law
Mailing address:
Secretary of State
Elections Division
30 Trinity Street
Hartford, CT 06106
Delaware
Updated: 02-07-2012
State Instructions
District of Columbia
Updated: 10-29-2003
Florida
Updated: 11-30-2011
Georgia
Updated: 08-15-2013
State Instructions
be 18 years old within six months
after the day of registration, and be
18 years old to vote
not be serving a sentence for
having been convicted of a felony
not have been judicially
determined to be mentally
incompetent, unless the disability
has been removed
Mailing address:
Elections Division
Office of the Secretary of State
2 Martin Luther King Jr. Drive
Suite 802 Floyd West Tower
Atlanta, Georgia 30334
Hawaii
Updated: 03-01-2006
Idaho
Updated: 03-01-2006
Illinois
Updated: 08-14-2012
State Instructions
Indiana
Updated: 03-01-2006
Iowa
Updated: 03-28-2008
Kansas
Updated: 10-25-2012
Registration Deadline
Postmarked or delivered 21 days
before the election
6. ID Number. Your completed
voter registration form must
contain your state issued driver's
license number or nondriver's
identification card number. If you
do not have a driver's license or
nondriver's identification card, you
must include the last four digits
of your social security number. If
you do not have a driver's license
or a nondriver's identification card
or social security number, please
write "NONE" on the form. A
unique identifying number will be
assigned by the State. The number
you provide will be used for
administrative purposes only and
will not be disclosed to the public.
(KSA 25-2309).
7. Choice of Party. You must
register with a party if you want to
take part in that partys primary
election, caucus, or convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Kansas
you must:
be a citizen of the United States
be a resident of Kansas
be 18 by the next election
have completed the terms of your
sentence if convicted of a felony;
a person serving a sentence for a
felony conviction is ineligible to vote
not claim the right to vote in any
other location or under any other
name
not be excluded from voting by a
court of competent jurisdiction
State Instructions
Mailing address:
Secretary of State
1st Floor, Memorial Hall
120 SW 10th Ave.
Topeka, KS 66612-1594
Kentucky
Updated: 03-01-2006
Louisiana
Updated: 08-14-2012
9. Signature. To register in
Louisiana you must:
be a citizen of the United States
be a resident of Louisiana
(Residence address must be address
where you claim homestead
exemption, if any, except for a
resident in a nursing home or
veterans home who may select
to use the address of the nursing
home or veterans home or the
home where he has a homestead
exemption. A college student may
elect to use his home address or his
address while away at school.)
be at least 17 years old, and be 18
years old prior to the next election
to vote
not currently be under an order
of imprisonment for conviction of
a felony
not currently be under a
judgment of interdiction for
mental incompetence
Mailing address:
Secretary of State
Attention: Voter Registration
P.O. Box 94125
Baton Rouge, LA 70804-9125
Maine
Updated: 08-14-2012
State Instructions
7. Choice of Party. You must
register with a party if you want to
take part in that partys primary
election, caucus, or convention
(unless otherwise permitted by a
political party).
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in Maine
you must:
be a citizen of the United States
be a resident of Maine and the
municipality in which you want
to vote
be at least 17 years old (you must
be 18 years old to vote)
Mailing address:
Elections Division
Bureau of Corporations,
Elections and Commissions
101 State House Station
Augusta, ME 04333-0101
Maryland
Updated: 06-26-2008
Mailing address:
State Board of Elections
P.O. Box 6486
Annapolis, MD 21401-0486
Mailing address:
Secretary of the Commonwealth
Elections Division, Room 1705
One Ashburton Place
Boston, MA 02108
Massachusetts
Updated: 03-01-2006
Michigan
Updated: 03-01-2006
State Instructions
do not have a driver's license or a
state issued personal identification
card or a social security number,
please write "NONE" on the form.
A unique identifying number will
be assigned by the State.
7. Choice of Party. A "choice of
party" is not required for voter
registration.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Michigan you must:
be a citizen of the United States
be 18 years old by the next
election
be a resident of Michigan and at
least a 30 day resident of your city
or township by election day
not be confined in a jail after
being convicted and sentenced
Notice: Michigan law requires that
the same address be used for voter
registration and driver license
purposes. Therefore, if the residence
address you provide on this form
differs from the address shown
on a driver license or personal
identification card issued by the
State of Michigan, the Secretary
of State will automatically change
your driver license or personal
identification card address to match
the residence address entered on
this form. If an address change is
made, the Secretary of State will
mail you an address update sticker
for your driver license or personal
identification card.
Caution: If you register by mail,
you must vote in person at your
assigned precinct the first time you
vote, unless you are:
disabled as defined by state law;
60 years of age or older; or
temporarily residing overseas.
Mailing address:
Michigan Department of State
Bureau of Elections
P.O. Box 20126
Lansing, MI 48901-0726
Minnesota
Updated: 12-31-2008
Registration Deadline
Delivered by 5:00 p.m. 21 days
before the election (there is also
election day registration at polling
places).
6. ID Number. You are required
to provide your Minnesota drivers
license or state ID number to
register to Vote. If you do not have
a Minnesota drivers license or state
ID then you will have to provide
the last four digits of your social
security number. If you have neither,
please write none on the form.
7. Choice of Party. Leave blank.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Minnesota you must:
be a citizen of the United States
be a resident of Minnesota for 20
days before the next election
maintain residence at the address
given on the registration form
be at least 18 years old on
election day
if previously convicted of a felony,
your felony sentence has expired or
been completed, or you have been
discharged from the sentence
not be under a court-ordered
guardianship in which the right to
vote has been revoked
not be found by a court to be
legally incompetent to vote.
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Mailing address:
Secretary of State
60 Empire Drive, Suite 100
St. Paul, MN 55103-1855
Mississippi
Updated: 05-07-2010
State Instructions
Note: State law changed by federal
court order in 1998 and by state
legislation in 2000. We now accept
the form as registration for voting
for all state and federal offices.
Mailing address:
Secretary of State
P.O. Box 136
Jackson, MS 39205-0136
Local county addresses:
You also may return completed
applications to the county circuit
clerk/registrar where you reside.
A complete list of county circuit
clerk/registrars is available on
Mississippis website at www.sos.
ms.gov.
Missouri
Updated: 09-12-2006
Montana
9. Signature. To register in
Montana you must:
be a citizen of the United States
be at least 18 years old on or
before the election
be a resident of Montana and of
the county in which you want to
vote for at least 30 days before the
next election
not be in a penal institution for a
felony conviction
not currently be determined by a
court to be of unsound mind
meet these qualifications by the
next election day if you do not
currently meet them
Mailing address:
Secretary of States Office
P.O. Box 202801
State Capitol
Helena, MT 59620-2801
Nebraska
Updated: 03-01-2006
Updated: 03-01-2006
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State Instructions
be at least 18 years of age or will
be 18 years of age on or before the
first Tuesday after the first Monday
of November
not have been convicted of a
felony, or if convicted, have had
your civil rights restored
not have been officially found to
be mentally incompetent
Mailing address:
Nebraska Secretary of State
Suite 2300, State Capitol Bldg.
Lincoln, NE 68509-4608
Nevada
Updated: 05-07-2010
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New Hampshire
Updated: 03-01-2006
New Jersey
Updated: 03-28-2008
State Instructions
7. Choice of Party. New Jersey's
voter registration form does not
provide a check-off for political
party affiliation. A newly registered
voter or voter who has never voted
in a political party primary election
can declare party affiliation at
the polling place on the day of a
primary election. In New Jersey, a
primary election is only held for
the Democratic and Republican
parties. A voter may also file a
political party declaration form to
become a member of a political
party. If a declared voter wished
to change party affiliation he or
she must file a declaration form 50
days before the primary election,
in order to vote.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in New
Jersey you must:
be a citizen of the United States
be at least 18 years of age by the
time of the next election
be a resident of this State and
county at your address at least 30
days before the next election
not be serving a sentence or on
parole or probation as the result of a
conviction of any indictable offense
under the laws of this or another
state or of the United States
Mailing address:
New Jersey Department of Law
and Public Safety
Division of Elections
PO BOX 304
Trenton, NJ 08625-0304
New Mexico
Updated: 03-01-2006
New York
Updated: 06-19-2014
State Instructions
North Carolina
North Dakota
Updated: 03-01-2006
Updated: 03-01-2006
Registration Deadline
Postmarked 25 days before
the election or received in the
elections office or designated voter
registration agency site by 5:00 p.m.
25 days before the election.
Mailing address:
State Board of Elections
P.O. Box 27255
Raleigh, NC 27611-7255
Ohio
Updated: 03-01-2006
Mailing address:
Secretary of State of Ohio
Elections Division
180 E. Broad Street 15th Floor
Columbus, OH 43215
Oklahoma
Updated: 10-29-2003
State Instructions
Oregon
Updated: 03-01-2006
Pennsylvania
Updated: 03-01-2006
Rhode Island
Updated: 03-28-2008
South Carolina
Updated: 03-01-2006
State Instructions
individual. (South Carolina Title
7-5-170)
7. Choice of Party. You do not have
to register with a party if you want
to take part in that partys primary
election, caucus, or convention.
8. Race or Ethnic Group. You are
required to fill in this box. Your
application may be rejected if you
fail to do so. See the list of choices
under the Application Instructions
for Box 8 (on page 2).
9. Signature. To register in South
Carolina you must:
be a citizen of the United States
be at least 18 years old on or
before the next election
be a resident of South Carolina,
your county and precinct
not be confined in any public
prison resulting from a conviction
of a crime
never have been convicted of
a felony or offense against the
election laws, or if previously
convicted, have served your entire
sentence, including probation or
parole, or have received a pardon
for the conviction
not be under a court order
declaring you mentally
incompetent
claim the address on the
application as your only legal place
of residence and claim no other
place as your legal residence
Mailing address:
State Election Commission
P.O. Box 5987
Columbia, SC 29250-5987
South Dakota
Updated: 03-01-2006
Mailing address:
Elections, Secretary of State
500 E. Capitol
Pierre, SD 57501-5070
Tennessee
Updated: 06-19-2014
17
9. Signature. To register in
Tennessee you must:
be a citizen of the United States
be a resident of Tennessee
be at least 18 years old on or
before the next election
not have been convicted of a
felony, or if convicted, have had
your full rights of citizenship
restored (or have received a
pardon)
not be adjudicated incompetent
by a court of competent
jurisdiction (or have been restored
to legal capacity)
Mailing address:
Coordinator of Elections
Tennessee Tower, Seventh Floor
312 Rosa L. Parks Ave.
Nashville, TN 37243-1102
Texas
Updated: 03-01-2006
State Instructions
be a resident of the county
in which the application for
registration is made
be at least 17 years and 10 months
old (you must be 18 to vote)
not be finally convicted of a
felony, or if a convicted felon,
you must have fully discharged
your punishment, including any
incarceration, parole, supervision,
period of probation or be pardoned.
have not been declared mentally
incompetent by final judgment of a
court of law
Updated: 03-28-2008
Mailing address:
Office of the Lieutenant
Governor
P.O. Box 142325
Salt Lake City, UT 84114
Mailing address:
Office of the Secretary of State
Elections Division
P.O. Box 12060
Austin, TX 78711-2060
Utah
Vermont
Updated: 07-29-2008
Virginia
Updated: 11-30-2011
State Instructions
Article II, 2, Constitution of
Virginia (1971).
7. Choice of Party. You do not
have to register with a party if you
want to take part in that partys
primary election, caucus, or
convention.
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in
Virginia you must:
be a citizen of the United States
be a resident of Virginia and of
the precinct in which you want to
vote
be 18 years old by the next May
or November general election
not have been convicted of a
felony, or have had your civil rights
restored
not currently be declared mentally
incompetent by a court of law
Mailing address:
Virginia State Board of Elections
1100 Bank Street, 1st floor
Richmond, VA 23219
Updated: 09-12-2006
Washington
Updated: 9-24-2012
Mailing address:
Secretary of State
Elections Division
P.O. Box 40229
Olympia, WA 98504-0229
West Virginia
Registration Deadline 21 days
before the election.
6. ID Number. Enter your driver's
license number. If you do not have
a drivers license number, enter the
last four numbers of your social
security number. If you do not
have a driver's license number
or a social security number, an
identification number will be
assigned to you.
7. Choice of Party. You must register
with a party if you want to take part
in that partys primary election,
caucus, or convention (unless you
request the ballot of a party which
allows independents to vote)
8. Race or Ethnic Group. Leave
blank.
9. Signature. To register in West
Virginia you must:
be a citizen of the United States
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Wisconsin
Updated: 08-05-2013
Registration Deadline
Postmarked at least twenty days
before the election; or completed
in the office of the town, village, or
city clerk up to 5:00 pm or the close
of business whichever is later, on
the Friday before the election; or
completed at the polling place on
Election Day
6. ID Number. Provide your
driver license or DOT-issued ID
card number. If you do not have a
current and valid DOT-issued driver
license or ID card, provide the last 4
digits of your social security number
7. Choice of Party. Not required.
8. Race or Ethnic Group. Not
required.
9. Signature. To register in
Wisconsin you must:
be a citizen of the United States
be a resident of Wisconsin and
have resided at the registration
address for at least 28 days.
be 18 years old
State Instructions
not have been convicted of
treason, felony or bribery, or if you
have, your civil rights have been
restored
not have been found by a court to
be incapable of understanding the
objective of the electoral process
not make or benefit from a bet or
wage depending on the result of an
election
not have voted at any other location,
if registering on election day
Mailing address:
Government Accountability
Board
212 East Washington Avenue,
Third Floor
P.O. Box 7984
Madison, WI 53707-7984
Wyoming
Updated: 03-01-2006
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