2014 National TITLE Boxing Tournament Sponsored by TITLE Boxing

Dear Boxing Coaches and Officials: The Hot Springs Boys & Girls Club Boxing Team is hosting the 2014 National TITLE Boxing Tournament scheduled for June 18, 2014 –June 21, 2014. We invite you, your boxers and your club to compete in this year’s tournament. Important information about the tournament and the entry form are enclosed. Please duplicate this packet as needed. Read and complete all the information thoroughly. Applications for official(s) willing to assist with the competition are enclosed. Accommodation information can be found at www.Hotsprings.org. Hot Springs National Park is a tourist community with a large variety of hotels and motels. There is NO host hotel. Mandatory COACHES meeting will be held at the Hot Springs Boys & Girls Club on June 18 at 5 PM. Make plans now to attend the 2014 NATIONAL TITLE BOXING TOURNAMENT.

Sincerely, Chad Wade (CO-Event Coordinator) 501-318-7043

2014 NATIONAL TITLE BOXING TOURNAMENT Sponsored by Title Boxing HOT SPRINGS NATIONAL PARK

Registration Fee: $30 through June 08, 2014, $50 after June 08, 2014 Event Dates: June 18 - June 21, 2014 Location: Hot Springs Boys & Girls Club, Back Gym 109 West Belding, Hot Springs, AR 71901 June 18 Check-in and Official Weigh-in: 8 AM to 4 PM Tournament Start Time: 6 PM, dependent on bracket load June 19 Weigh-in Start Time: 8 AM for boxers who compete that day Tournament Start Time: 6 PM June 20 Weigh-in Start Time: 8 AM, for boxers who compete that day Tournament Start Time: 6 PM June 21 Weigh-in Start Time: 8 AM, for boxers who compete that day Tournament Start Time: 12 Noon, Championship Bouts Event Officials: Willie McCoy, Event Coordinator – 501/655-2853 Chad Wade, Co-Event Coordinator – 501/318-7043 Cecil Perkins, Chief Official Sanction: Tournament held under the USA BOXING Awards: Title Belts will be awarded in all age levels.

2014 NATIONAL TITLE BOXING TOURNAMENT Sponsored by Title Boxing HOT SPRINGS NATIONAL PARK

OFFICIAL(S) FORM Event Dates: June 18 - June 21, 2014 Location: Hot Springs Boys & Girls Club, Back Gym 109 West Belding, Hot Springs, AR 71901 Application must be received by June 14, 2014. Registration closes June 14, 2014. U.S. participants must be a current member of USA Boxing in order to participate.

___________________________________________ FIRST NAME / LAST NAME

________________________________________________________________________ ADDRESS (Street/City/State/Province)

___________________________________ ZIP/POSTAL CODE COUNTRY

___________________________________ OFFICIAL(S) REGISTRATION NUMBER

___________________________________ E-MAIL (REQUIRED)

___________________________________ MOBILE PHONE # (Accessible during Event)

Mail registration form to: Hot Springs Boys & Girls Club Boxing Team National Title Tournament 109 West Belding, Hot Springs National Park, AR. 71901

2014 NATIONAL TITLE BOXING TOURNAMENT Sponsored by Title Boxing HOT SPRINGS NATIONAL PARK RULE & REGULATIONS Invitation/Entry Limitations: Invitation is extended to ALL team coaches. The coach is required to be a United States Amateur Boxing certified coach, with updated Pass Book, duly registered in his respective United States Amateur Boxing Association. Female weight classes are in accordance with USA Boxing rules. Equipment & Apparel  Mouthpiece: All boxers are required to wear an individually fitted mouthpiece. Referees shall disqualify boxers who enter the ring with anything other than a fitted mouthpiece.  Headgear: USA Boxing approved competitive headgear is mandatory for all contestants.  No-Foul Protectors: USA Boxing approved no-foul protectors are required for all male boxers.  Boxing Shirts: Boxers are required to wear a boxing shirt (sleeveless) while competing in the tournament. Grooming Boxers must be CLEAN SHAVEN before the weigh-ins and tournament. A neatly trimmed mustache is permissible. Hair must be cut in such a manner as not to interfere with the vision of the boxer. Sideburns are not permitted to extend below the earlobe. Boxers who do not report to the weigh-ins groomed, as required, will be denied permission to weigh-in. Medical Medical Authorization Forms: Coaches are responsible for bringing a signed medical treatment authorization form for each boxer under the age of 18 years (included in this packet). Coaches are required to keep these treatment forms on site at all times during the tournament for quick availability. Officials Boxing officials, judges, referees and timekeepers are invited to officiate at this tournament. Officials’ registration applications must include their United States Amateur Boxing registration number. All cities are encouraged to bring volunteer timers, judges and referees. Referees, judges and timekeepers in all sanctioned United States Amateur Boxing competitions shall be dressed in a white shirt, black trousers and boxing shoes without heels. Judges and officials must have current certificates in their possession for 2014. Team Representation Boxers shall be required to represent the club in which they are registered. United States Amateur Boxing Passbooks All boxers are required to present their United States Amateur Boxing Passbook prior to being permitted to weigh-in.

Out of State Boxers will NOT be permitted to register for United States Amateur Boxing Passbooks at weigh-ins. United States Amateur Boxing Passbooks must be secured from the boxer’s United States Amateur Boxing Association district. Parking Free Complimentary Parking available, but space is limited.

2014 NATIONAL TITLE BOXING TOURNAMENT Sponsored by Title Boxing HOT SPRINGS NATIONAL PARK ATHLETE ENTRY FORM (page 1 of 4) Event Dates: June 18 - June 21, 2014 Location: Hot Springs Boys & Girls Club, Back Gym 109 West Belding, Hot Springs, AR 71901 Application must be received by June 14, 2014. Registration closes June 14, 2014. U.S. participants must be a current member of USA Boxing in order to compete. International participants must be a current member of local boxing organization in order to compete. Deliberate falsification of entries may result in disqualification from this tournament and/or suspension from USA Boxing.

___________________________________________ FIRST NAME / LAST NAME

________________________________________________________________________ ADDRESS (Street/City/State or Province /Zip or Postal Country Code)

___________________________________ NOVICE OPEN WEIGHT CLASS TOTAL # OF BOUTS

___________________________________

MALE

AGE (as of 6/18/14) DATE OF BIRTH

___________________________________ 2014 BOXING REGISTRATION NUMBER

___________________________________ LOCAL BOXING CLUB NAME/AFFILIATION

___________________________________ E-MAIL (REQUIRED) / MOBILE PHONE # (Accessible during Event)

___________________________________ COACH’S NAME / COACH’S PHONE # (Accessible during Event)

Entry Fee Enclosed: $30 through June 08, 2014, $50 after June 08, 2014 Make check or money order payable to: Hot Springs Boy’s & Girl’s Club Boxing Team (HSB&GC Boxing Team) Mail registration form and payment to: Hot Springs Boy’s & Girl’s Club Boxing Team National Title Tournament 109 West Belding Hot Springs National Park, AR 71901

FEMALE

ATHLETE ENTRY FORM: DIVISION AND WEIGHT (page 2 of 4)  Please circle your Division and Weight. Age is based on Boxer’s age on June 18, 2014.  All Open Class Boxers must have minimum of five (5) recorded bouts in their passbook.  Novice boxers cannot have more than 10 recorded bouts in their Passbook.  You may choose to go Open with less than 10 bouts, if you have at least five (5) recorded bouts in your Passbook.  All Passbooks will be verified. Any deliberate falsification of entries will result in disqualification from the tournament and/or suspension from USA Boxing. THIS WILL BE MONITORED AND ENFORCED.  See “Competition Weight” in the NTBT Fact Sheet for important weight class details. Athlete Name: MENS OPEN 19 – 40

MENS NOVICE 19 – 40

108 114 123 132 141 152 165 178 201 201+

108 114 123 132 141 152 165 178 201 201+

MENS OPEN 17 – 19

MENS NOVICE 17 – 19

108 114 123 132 141 152 165 178 201 201+

108 114 123 132 141 152 165 178 201 201+

BOYS OPEN 15 – 16

BOYS NOVICE 15 – 16

90 95 101 106 110 114 119 125 132 138 145 154 165 176 189 201 201+

90 95 101 106 110 114 119 125 132 138 145 154 165 176 189 201 201+

BOYS OPEN 13 – 14

BOYS NOVICE 13 – 14

70 75 80 85 90 95 101 106 110 114 119 125 132 138 145 154 165 176 189 201+

70 75 80 85 90 95 101 106 110 114 119 125 132 138 145 154 165 176 189 201+

BOYS OPEN 11 – 12

BOYS NOVICE 11 – 12

70 75 80 85 90 95 101 106 110 114 119 125 132 138 145 154 165 176 189 201+

70 75 80 85 90 95 101 106 110 114 119 125 132 138 145 154 165 176 189 201+

BOYS OPEN 9 – 10

BOYS NOVICE 9 – 10

50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140

50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140

BOYS OPEN 8

BOYS NOVICE 8

50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140

50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140

WOMENS OPEN 19 – 40

WOMENS NOVICE 19 – 40

108 114 123 132 141 152 165 178 178+

108 114 123 132 141 152 165 178 178+

WOMENS OPEN 17 – 18

WOMENS NOVICE 17 – 18

106 112 119 125 132 141 152 165 178 178+

106 112 119 125 132 141 152 165 178 178+

GIRLS OPEN 15 – 16

GIRLS NOVICE 15 – 16

80 85 90 95 101 106 110 114 119 125 132 138 145 154 165 176 176+

80 85 90 95 101 106 110 114 119 125 132 138 145 154 165 176 176+

GIRLS OPEN 13 – 14

GIRLS NOVICE 13 – 14

70 75 80 85 90 95 101 106 110 114 119 125 132 138 145 154 165 176 176+

70 75 80 85 90 95 101 106 110 114 119 125 132 138 145 154 165 176 176+

GIRLS OPEN 11 – 12

GIRLS NOVICE 11 – 12

60 65 70 75 80 85 90 95 101 106 110 114 119 125 132 138 145 154

60 65 70 75 80 85 90 95 101 106 110 114 119 125 132 138 145 154

GIRLS OPEN 9 – 10

GIRLS NOVICE 9 – 10

50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140

50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140

GIRLS OPEN 8

GIRLS NOVICE 8

50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140

50 55 60 65 70 75 80 85 90 95 100 105 110 115 120 125 130 135 140

Athlete Signature _________________________________________ Date _____________ Parent Signature* ________________________________________ Date _____________ *Parent or Guardian signature required for athletes under 18 years of age

ATHLETE ENTRY FORM: WAIVER/WARNING/DISCLAIMER (page 3 of 4) In consideration of my participation in the activities of the 2014 National Title Boxing Tournament and connected activities, I, the undersigned, on behalf of myself, my heirs, representatives, executors, administrators and assigns, do hereby release, indemnify and hold harmless the National Title Boxing Tournament, Hot Springs Boy’s & Girl’s Club, Arkansas LBC, and United States Amateur Boxing, their members, its officers, agents, and employees from any cause of action, claims or demands of any nature whatsoever, which I, my heirs, representatives, executors, administrators and assigns may now have, or have in the future against all parties on account of personal injury, property damage, death or accident of any kind, including any act or omission of any third party (rescue squad, hospital, etc...), arising out of, or in any way related to, my participation in any and all National Title Boxing Tournament activities, whether that participation is supervised or unsupervised, howsoever the injury or damage is caused. I agree myself and heirs, distribute, guardians, legal representatives, and assign that, in the event that any claims for personal injury, death or property damage shall be prosecuted against the National Title Boxing Tournament, Hot Springs Boy’s & Girl’s Club, Arkansas LBC, or United States Amateur Boxing their members, officers, employees, or agents, I shall indemnify and hold harmless the National Title Boxing Tournament, Hot Springs Boy’s & Girl’s Club, Arkansas LBC, or United States Amateur Boxing their members, officers, employees, or agents from any and all such claims or causes of action by whoever made and wherever presented. I agree to abide by the rules of the United States Amateur Boxing. 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 or 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 said parties of any right or rights hereunder. I certify that I have had no injuries to my hands, neither fractures nor broken bones, within three (3) months preceding the dates of this entry form, and know of no other injuries to the head, concussion, fainting spells, and will notify boxing officials immediately should any of these injuries and conditions be experienced in the future. In addition, I also understand participation in sports carries a risk to me of serious injury, including permanent paralysis or death. I voluntarily and knowingly recognize, accept, and assume this 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 vaginal bleeding of undetermined causes (Etiology), recent loss of menstrual period (second amenorrhea), recently developed breast mass, recent breast dysfunction previously not present or surgical breast implants, and have read section 101.9(4) of USA Boxing Official Rules pertaining to my present condition. I have carefully read this Release of Liability. I fully understand its contents, I am aware that this is a release of liability. I sign of my own free will. Participant’s Signature_________________________________________Date:_________________ Signature of Parent/Guardian (if under 18 years of age): ______________________________________ Address/City/State/Zip_________________________________________________________________ Coach’s U.S. Amateur Boxing Card Validation Sticker Number:__________________________________

ATHLETE ENTRY FORM: CONSENT FOR SOMEONE ELSE TO AUTHORIZE TREATMENT (page 4 of 4) As the parent or legal guardian of_____________________________________________________, I hereby authorize and give my consent for any emergency medical, surgical or dental treatment for my child (listed above), should it be deemed advisable by a qualified medical doctor or dentist. Mr. & Mrs. _____________________________________________________, coach or another responsible adult escort is authorized to act on my behalf should a medical/dental emergency arise while participating in the 2014 National Title Boxing Tournament. I understand this is to avoid undue delay and assure prompt attention/treatment and that only a licensed and qualified medical doctor/dentist will be engaged for such an emergency. During this period, the parent or legal guardian of the above named child will be at the following location: Signature: Tele: . Address . City: State: Zip: . Email: . I solemnly swear or affirm that the answers I have made to each and all of the questions on the form are complete and true to the best of my knowledge and belief. __________________________________________________________ __________________ Participant or Signature of Parent/Guardian (if under 18 years of age) Date