US AMATEUR BOXING
OFFICIAL ENTRY FORM
76th Annual Tacoma Senior Golden Gloves
Sanctioned by the Pacific NW Boxing Association And US AMATEUR BOXING.
NAME __________________________________ LBC _________ CLUB _________________ Weight Class ___________
ADDRESS ____________________________________________________ Age/ Division _________Novice ___ Open ___
Street City State / Zip
PHONE# ( ) _________________ Passbook Validation # ____________________ Birth date ____________ M __ F __
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 right to any claim for damages I may have against the US Amateur Boxing ( USA Boxing ) any sanctioning local boxing committees of USA Boxing and all sponsors and venue owners, or the officers, sub-committees, agents, representatives and assigns of these entities, for any injury or damage suffered by me during my participation in, and/or arising from traveling to and/or returning from the below listed boxing events.
Tacoma Boxing Club 3109 So. 60th 98409
University of Puget Sound Field House 1500 No. Warner St. 98416
I agree to abide by the rules of US Amateur Boxing. 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 is 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 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 boxing officials immediately should any of these injuries and conditions be experienced in the future.
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WEIGHT MASTER: PHYSICIAN
WEIGHT ________ LBS. _________ OZ. APPROVED FOR COMPETITION
_____________________________________ ____________________________________
Signature of official Physician’s signature
In addition I also understand and appreciate that participation in sport 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 (secondary amenorrhea), recently developed breast mass, recent breast dysfunction previously not present or surgical breast implants, and have read section 101.9 of USA Boxing’s official rules pertaining to my present physical condition.
Signed: _________________________________________________________ Date: _______________
Participant’s Full Name
Signed: __________________________________________________________ Date: _______________
Spouse
**Signed: _______________________________________________________ Date: _______________
Parent ( s ) or Guardian ( s )
Signed: __________________________________________________________ Date: _______________
Boxer’s Coach ( or other witness )
Signed in the Presence of ___________________________________________ Date: _______________
LBC President / Registration Chair or Sanction Holder
** REQUIRED ENTRANT must be 18 years of age on or before Jan. 24, 2021 and US citizen.
2025 Tournament Information
76th Tacoma Senior Golden Gloves Tournament
Sanctioned by: Pacific Northwest Assoc. and USA Boxing
Tacoma Boxing Club and Tacoma Athletic Commission
Jan. 24th and 25th, 2025
LOCATION
Tacoma Boxing Club Gym – 3109 So. 60th, Tacoma, 98409
University of Puget Sound Field House
1500 No. Warner St. Tacoma, WA. 98416
COORDINATOR
Tom L. Mustin
email tommustin1967@gmail.com 253-222-2669
PASS BOOKS
Must be presented to weigh master.
WEIGH-INS/Physicals
8:00am-10am Friday, Jan. 24th
Physicals 5:00 PM. for boxer competing on Friday.
8:00-10am Saturday, Jan. 25th
Tacoma Boxing Club Gym – 3109 So. 60th
COACH’S MEETING
11:00 am Friday, Jan. 24th
11:00 am Saturday, Jan. 25th (match bouts if needed)
ELIMINATIONS
7:00 pm, Friday, Jan.24th - Tacoma Boxing Club
CHAMPIONSHIPS
7:00 pm, Saturday, Jan. 25th - U.P.S. Fieldhouse
EQUIPMENT
Teams furnish their own USA Boxing- approved:
gauze, tape, gloves, headgear, mouthpiece, etc.
AWARDS
Championship sweat suits for Washington State contested open class boxers.
Trophies for runner up in each weight class. Golden Boy and Team Trophy
WEIGHT CLASSES
Men's Elite & Youth/U19 Weight Divisions
Flyweight…………………...50kg/110lbs.
Bantamweight……………..55kg/121lbs.
Lightweight………………...60kg/132lbs.
Welterweight………………65kg/143lbs.
Light Middleweight………..70kg/154lbs.
Middleweight………………75kg/165lbs.
Light Heavyweight………..80kg/176lbs.
Cruiserweight……………..85kg/187lbs.
Heavyweight……………...90kg/198lbs.
Super Heavyweight ……..90+kg/198+lbs.
Women's Elite & Youth/U19 Weight Divisions
Light Flyweight……………48kg/106lbs.
Flyweight…………………..51kg/112lbs.
Bantamweight…………….54kg/119lbs.
Featherweight…………….57kg/125lbs.
Lightweight………………..60kg/132lbs.
Welterweight……………...65kg/143lbs.
Light Middleweight……….70kg/154lbs.
Middleweight……………...75kg/165lbs.
Light Heavyweight………..80kg/176lbs.
Heavyweight………………80+kg/176+lbs.
LODGEING
Rooms ( 2 coaches or 4 boxers per room ) will be provided by Sanctioning Organization 2 nights – Thursday / Friday nights or Friday/ Saturday nights (must travel 75 miles or more to competition ) Contact: Tom L. Mustin - tommustin1967@gmail.com 253-222-2669
