Amateur Match Making Boxing Registration Form

COACHES NAME

COACHES PHONE

COACHES EMAIL ADDRESS

CLUB NAME

BOXER'S NAME

BOXER'S PHONE

BOXER'S EMAIL ADDRESS

BOXER'S DATE OF BIRTH

BOXER'S WEIGHT (pounds)

BOXER'S SEX (Choose One) BOXER'S SEX (Choose One)MALEFEMALE

BOXER'S NUMBER OF BOUTS

BOXER'S HEIGHT (inches)

USA BOXING BOOK NUMBER

LBC ASSOCIATION (Choose One) LBC ASSOCIATION (Choose One)Florida Gold CoastFlorida AssociationSouthern

PHONE NUMBER

MESSAGE/NOTES