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2015 RINGSIDE WORLD CHAMPIONSHIPS
OFFICIAL’S ENTRY FORM
AUGUST 3 - AUGUST 8, 2015
Independence Events Center
19100 E. Valley View Parkway Independence, MO 64055
Online Registration Closes July 24, 2015
Held under the sanction of USA Boxing, Inc
Missouri Valley LBC 7 2 1 9 W eb s t er A v e K C , K S
Ringside gratefully acknowledges the vital role Officials play in conducting this tournament. Your participation is vital to
provide amateur boxers throughout the world, an opportunity to showcase their talents. With 6 rings, 2 sessions a day, 4
days of boxing & over 1500 boxers, you will gain officiating experience 2nd to none! We hope you will join us at this great
event, which provides amateur boxers an opportunity to compete in the World’s Largest Amateur Boxing Tournament!
Lunches, dinners and beverages are provided to Officials throughout the tournament.
We are working with hotels around the Events Center, to get the best room rates for your stay. We are also working to
identify a sponsor who will subsidize the cost of Officials’ rooms.
Level 1, 2 & 3 Official’s Clinics will be offered Tuesday, July 28th from 4pm to 8pm in the Event Center.
ALL LEVELS OF OFFICIALS ARE WELCOME. No referral is required from your LBC.
All Officials are asked to check-in Monday, August 3rd from noon to 6pm or Tuesday, August 4th from 8am
to 4pm. We ask that you please plan to depart on Sunday August 3rd, to ensure the best scoring for all athletes and to
give all Officials breaks throughout the event.
For complete Tournament details & Fact Sheet: www.ringside.com/tournaments Questions: [email protected]
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Name (please print)
USA Boxing Reg. #
________________________________________________________________________________________
Address
Circle Current Level
I II III
Jobs you can work (circle all that apply)
Please Circle All Days & Sessions Available to Work
Referee Judge Timekeeper Clerk
8/5 Wednesday
8/6 Thursday
8/7 Friday
8/8 Saturday
11a - 5p Session 1
6p - 11:30p Session 2
11a - 5p Session 1
6p - 11:30p Session 2
11a - 4p Session 1
6p - 10:30p Session 2
11a - 7p Full Session (or)
_________ – _________
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E-Mail Address (required)
Name Of Hotel Where Registered
Mobile Phone (accessible at event)
Name of Person Room Is Registered Under
In consideration of accepting this entry, I hereby, for myself, my heirs, executors, administrators and assigns, waive and release any and all rights to
any claim for damages I may or might have against United States Amateur Boxing (USA Boxing), Ringside/Combat Brands (Ringside) and any
sanctioning Local Boxing Committee of USA Boxing and all sponsors and venue owners, for any injury or damage suffered by me, during my
participation in the Ringside World Championship Tournament. By taking part in and/or attending the Ringside World Championships, I understand that
I may be photographed (still and/or video) and consent to the use of my image, likeness and/or voice for marketing and related purposes by Combat
Brands, LLC (Combat Brands) or event partners (partners) without compensation. Combat Brands and/or partners may publish materials, use my name,
photograph, and/or make reference to me in any manner deemed appropriate for company related purposes. I agree to abide by USA Boxing’s Code of
Conduct. This authorization is continuous and may only be withdrawn by my specific rescission of this authorization.
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Signature
Completed hard copy forms can be sent to:
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Date
Fax: 913-888-4274 Or mail: Combat Brands Ringside Tournament ~ 15850 W. 108th St ~ Lenexa, KS 66219-1340