ENTRY FORM

to be completed
CHECK WEIGHT
FEMALE — Weight division
(PLEASE PRINT)

OPEN TO ALL NY BOXERS

Sanctioned by USA Boxing Metro

e Must Bed by rk Postmaber 24th Decem

PLEASE WRITE CLEARLY. Complete this entry form and mail to:
DAILY NEWS, GOLDEN GLOVES, 4 New York Plaza, 7th Floor, New York, NY 10004

Name of Boxer______________________________________________________________ Age____________ Date of Birth (mm/dd/yyyy)______/_____/________ Street Address_____________________________________________Apt._____________ City___________________Borough______________________State________Zip________ Contact email address _______________________________________________________ Telephone ____________________ Club ________________________________________
(if none, enter “unattached”)

q 101 lb. q 106 lb. q 112 lb. q 119 lb.

q 125 lb. q 132 lb. q 141 lb. q 152 lb.

q 165 lb. q 178 lb. q 178+ lb.

MALE q Open q Novice
Please consult with your trainer and a member of USA Boxing metro if you are unclear of your Open or Novice status. This tournament will not be a National Golden Gloves qualifying tournament; it is a non-advancing tournament.

Weight division

q 108 lb. q 114 lb. q 123 lb. q 132 lb.

q 141 lb. q 152 lb. q 165 lb.

q 178 lb. q 201 lb. q 201+ lb.

q Citizen

q Permanent Resident with Green Card

q Here on a Visa

In order to compete at Barclays Center in the Golden Gloves Finals in 2013, every boxer must have at least one bout leading into the finals.

Boxers must be registered by USA Boxing, Metro, at least SEVEN days before their scheduled bout. Cornermen must be registered and certified by USA Boxing, Metro. Foreign Boxers are not allowed to compete without proper residency qualifications. Daily News Charities, Inc., 4 New York Plaza, 7th Floor, New York, NY 10004.

Daily News Charities, Inc. 4 New York Plaza, 7th floor, New York, NY 10004

For up-to-date tournament information, go to www.nydailynews.com/goldengloves
To avoid disqualification please submit your entry on-line at www.nydailynews.com/goldengloves

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