Date: November 15 & 16, 2019.
Location: Sonny's Boxing Gym, 108 E. Western Ave, Goodyear, AZ 85338
Held under the sanction of USA Boxing, Inc Phoenix LBC, Arizona U.S. participants must be a current member of USA Boxing in order to compete International participants must be a current member of a local AIBA boxing organization or have an up to date book with Canada or Australia (including medical clearance). Deliberate falsification of entries may result in disqualification from this tournament.
First Name *
Last Name *
CELL PHONE # (Accessible at Event)
TOTAL AMATEUR BOUTS : (All bout history not just as a master)
NUMBER OF MASTER BOUTS:
OF THOSE BOUTS HOW MANY WERE IN THE LAST TEN YEARS
I CONFIRM I HAVE NEVER FOUGHT AS A PROFESSIONAL (Type initials below)
AGE (as of 12/31/18) *
DATE OF BIRTH (01/01/1960)
2019 BOXING REGISTRATION NUMBER
LOCAL BOXING CLUB NAME/FEDERATION AFFILIATION (IF YOU HAVE ONE)
COACH’S NAME & COACH’S MOBILE # (Accessible during Event) Not required. There will be available people that will corner you (free obviously).