USA Boxing

CALIFORNIA GOLDEN GLOVES

2023 CALIFORNIA GOLDEN GLOVES CENTRAL QUALIFIER

ALEMAN BOXING FRESNO

3310 E BELMONT AVE, FRESNO CA 93702

MARCH 11-12, 2023 (SEMI-FINALS & FINALS)

 (EARLIER IF NECESSARY FOR QUARTER FINALS AT LOCATION TBA)

OPEN                                                  CIRCLE                                               NOVICE

OFFICIAL ENTRY FORM (PRINT CLEARLY)

A NON-REFUNDABLE ENTRY FEE ($35.00 CASH ONLY PER BOXER) MUST ACCOMPANY EACH REGISTRATION FORM

BOXER’S NAME__________________________________DATE OF BIRTH_________

AGE ______ (Must be age 18 as of February 23, 2023)

ADDRESS_____________________________________________________________ CITY______________________STATE-CA      ZIP___________

HOME PHONE (      )______________________CELL PHONE (      )_________________

MALE (   ) FEMALE (   )

MEMBER No. 2023_______________ REGISTERED CLUB _______________________

COACH NAME ________________________________MEMBER NO.________________

PHONE NO.( )____________________

COACH NAME________________________________ MEMBER NO.________________

PHONE NO.( )____________________

Do you wear Dental Braces? Yes_____ No _____ If yes, make sure you have proper documentation in your book

AGE DETERMINATION DATE: February 23, 2023

CIRCLE APPROPRIATE DIVISION AND WEIGHT

MALE OPEN and NOVICE - Ages 18 to 40

112-125-132-139-147-156-165- 176-203-203+ Olympic Weight Classes

FEMALE OPEN and NOVICE - Ages 18 to 40

110-119-125-132-139-146-154-165-178-178+ Olympic Weight Classes

ALL BOXERS IN OLYMPIC WEIGHT CLASSES MUST BE U.S CITIZENS

OPEN AND NOVICE BOXERS ADVANCE TO CALIFORNIA GOLDEN GLOVES STATE CHAMPIONSHIP

ALL OPEN BOXERS MUST HAVE 10 SCORED BOUTS IN PASSBOOK

FOR ADDITIONAL INFORMATION ON THE CALIFORNIA GOLDEN GLOVES CONTACT:

FAUSTO DE LA TORRE (626 578-5479)  CaliGoldenGloves@gmail.com

FOR ADDITIONAL INFORMATION ON THE CENTRAL REGIONALS CONTACT:

FRANK ALEMAN 559 905 7125   ALEMANBOXING@YAHOO.COM

(SIGN WAIVER ON OTHER SIDE)

WAIVER/WARNING/DISCLAIMER

In consideration of your accepting this entry. I hereby, for myself. my heirs. executors, administrators and assigns waive and release any and all rights to any and all rights to any claim for damages I may or might have against United Amateur Boxing (USA Boxing), any sanctioning lbc (committees of USA Boxing and all sponsors and venue owners, or the officers, Sub-Committees, Agents, Representatives, California Golden Gloves and assigns of these entities, for any injury or damage suffered by me, whether arising from the negligence of the releaser otherwise, during my participation in the 2023 CALIFORNIA GLOLDEN GLOVES QUALIFIER TOURNAMENTS AND STATE FINALS.

I agree to abide by the rules of United States Amateur If I observe any unusual, significant violations or hazards during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official IMMEDIATELY. I fully understand that I assume all responsibility for any injury nor damage that I may incur in these boxing bouts. I understand and agree that medical or other services rendered to me by or at the insistence of any of the named parties are not an admission of liability to provide or continue to provide any such services and is not a waiver by any of the said parties of any right or rights hereunder.

I certify mat I have no injuries to my hands, neither fractures nor broken bones within three months preceding the dates of this entry form and know of no other injuries to the head, concussion, fainting spells, and will notify officials IMMEDIATELY should any of these injuries and conditions experienced in the future.

In addition, I also understand and appreciate that participation in sport carries risk to me of serious injury, including permanent paralysis or death, I voluntarily and knowingly recognize, accept and assume risk.

(FEMALE BOXERS ONLY) I further certify that I am not pregnant or have any painful pelvic discomfort such as SYMPTOMATIC.

ENDOMETRIOSIS or other causes. Abnormal bleeding of undetermined causes (ETOLOGY), recent loss of menstrual period (SECONDARY AMENORHEA), recently developed breast mass, recent breast dysfunction previously not present or surgical breast implants, and have read section 101.9(4) of USA Boxing rules pertaining to my present physical condition.

SIGNED (BOXER)__________________________________________DATE________

SIGNED (COACH/WITNESS) _________________________________DATE________

Boxer Entry Fee – $35.00 Each Coach Entry Fee - $20.00

• MUST BE CURRENT USA BOXING MEMBER FOR 2023

• ALL BOXERS MUST REGISTER BY 2/18/2023 1PM LATEST.

• BIRTH CERTIFICATE /PHYSICAL /PHOTO MUST BE UPLOADED THROUGH USA BOXING

• BOXERS IN OLYMPIC WEIGHT CLASSES MUST BE CITIZENS

• BOXERS MUST HAVE CURRENT PHYSICAL IN PASSBOOK

• WEIGH INS @AlemanBoxing 8-10 AM (3/11-12)

• 3/11-12 COMPETITIONS @AlemanBoxing WILL BEGIN AT 3PM 3/11 & 1PM 3/12

• ALL COACHES MUST BE REGISTERED/CERTIFIED

• ALL COACHES MUST HAVE WRISTBAND TO BE IN CORNER

• COACHES MAY SHOW CURRENT MEMBERSHIP ON PHONE OR WITH REDBOOK

ALEMAN BOXING FRESNO

3310 E BELMONT AVE, FRESNO CA 93702

WEIGH INS 8-10 AM

COMPETITION SEMI-FINALS & FINALS 3/11 3PM & 3/12 1PM

CHECK CENTRAL CALIFORNIA BOXING ASSOCIATION ON FACEBOOK FOR BRACKETS.