[PDF]Region 1Upper Midwest Golden Gloves Tournament...
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Region 1Upper Midwest Golden Gloves Tournament 2018 April 7th 2018 Athlete Application This application must be received by the Region 1 Director by March 24th 2018 NO EXCEPTIONS A copy of a birth certificate and or copy of passport must be included with this application! Please circle your weight class Male 108
114
123
132
141
152
165
178
201
201+
Female
106
112
119
125
132
141
152
165
178 178+
Date_____________________ Boxer’s shirt size:
sm
med
lg
xlg
xxlg
Jacket size:
sm
med
lg
xlg
xxlg
Boxer’s Name: ___________________________________________Current Age________________ USA Athletes Passbook #___________________________ Date of Birth______/_____/_____ Boxers Email_________________________________________________________________________ Address_____________________________________________________________________________ City______________________________________State___________________Zip__________________ Phone__________________________________ Alt Phone_____________________________________ Club___________________________________Coach__________________________________________ (boxer may fight unattached-please indicate) Coaches email_________________________________________________Phone____________________
Boxer’s Signature_______________________________________________ Date____________________
Please mail to: Email: ___________________ Phone: __________________