Club Show Documentation
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1 Club Show Documentation Club Show Package Official Remuneration Chart Official Assignment Sheet Official Feedback Form Result Form for Coaches Coaches Card/Registered Checklist Become an Official Signup Sheet Club Show Information Package Ring Card Carrier Policy Timekeeper Duties Show checklist Match guidelines age, weight, experience Mandatory requirements gloves, headgear Class Determination by Birth Year AIBA Rules Main Changes 2013 Sanction Package The following documents to be submitted to Boxing Ontario, upon completion of club show. Club Show Documentation Weigh in sheet and program Result sheet Score cards (Pads sent separately) TKO Concussion Injury Caution Sheet Sport Injury Report Form (carbon copies) Pre bout medicals (male and female) Referee Pre bout Medical questionnaire Supervisor Bout Report Announcer Form Post Event Report Other Sanction form Line up from host club (48 hours prior to event) Club Documentation 08/2013
2 Weigh-in Sheet & Program Date Location: - Bout # Red Corner Name & Club Wt. (KG) D.O.B. Jr, Y, S Upgr # of Bouts *If Boxer has been upgraded, please note on weigh-in and program form* Blue Corner Name & Club Wt. (KG) D.O.B. Jr,Y, S Upgr # of bouts WEIGHT ALLOWANCES (KG) CLASS / WEIGHT Y/S M Y/S F JA /JB / JC M/F Masters - all weights 08/13
3 BOXING ONTARIO RESULT SHEET Date: Location: Region: Name of Club: Club Executive: Bout # Weight Class Red Name/Club Blue Name/Club Winners (Red/ Blue) Decision Details Referee Name Officials Supervisor Doctor at Ringside License No Signature Injury Report Name Sport Injury Report Form Completed Rest / Suspension Recommendation ~THIS SHEET MUST BE SUBMITTED TO THE BOXING ONTARIO OFFICE WITHIN 5 BUSINESS DAYS FOLLOWING THIS COMPETITION ~ (07/2013)
4 TKO (Concussion Injury) Caution Sheet To be given to Coach for review with boxer Venue Boxer Name Coach Name Date of TKO / KO Time of TKO / KO Suspension / Rest Period 1. The boxer is not to walk home alone unescorted: the boxer is not to drive an automobile, bike, motorbike or any other vehicle away from the venue by themselves. A coach or consort must escort by foot, or drive the vehicle taking the boxer away from the venue. 2. The boxer is not to ingest sleeping pills, aspirins, sedatives, tranquilizers, antihistamines, or any other sedating medications for a minimum period of 48 hours. The boxer may take Tylenol plain tablets (without codeine), if needed, for treatment of headache, or other musculoskeletal aches. 3. The boxer must be seen with the next 24 hours, optimally by a physician, the boxer must definitely be seen, at least once by a friend or relative within the next 24 hours to assess their general state of alertness, presence of headaches and other signs noted below: Persistent drowsiness Persistent headaches Blurred or double vision Vomitus Tremors, fits, convulsions Weakness of arm or leg Imbalance Combination of any of the above signs If any of the above signs is observed the boxer must be taken immediately to the nearest emergency hospital room for neurological assessment Signed: Dr. License No: (Ring Physician) TK0 Concussion Injury Caution Sheet 08/2013
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11 3 Concorde Gate, Suite 202 Toronto, Ontario M3C 3N7 t f POST EVENT REPORT GENERAL M D Y 1. Date of the event: / / 2. Sanctioning club: 3. Location of event: 4. Matchmaker: 5. Supervisor : 6. Doctor s name: 7. Announcer: 8. Time Keeper: 9. Referees/Judges: 1. Level 4. Level 2. Level 5. Level 3. Level 10. Referee/Judges in training: Officials conducting weigh in BOXERS Did all Boxers: 1. Possess a valid passbook with current registration 2. Weigh in and have weight recorded 3. Complete Pre bout Medical 4. Arrive within specified time for weigh ins and medicals Yes If No (Please provide details) DOCTOR / MEDICALS Did the Doctor: 1. Record pre bout medical info into passbooks of boxers and referees 2. Sign Medical forms 3. Sign Results Sheet 4. Conduct post bout examinations 5. Remain at Ringside during all bouts Yes If No (Please provide details) OFFICIALS Did the Officials: 1. Possess a valid passbook & registration number 2. Complete a medical if a referee 3. Verify coaches cards and / or registration number 4. Record weights and initial in boxers passbooks 5. Insure boxers equipment headgear, gloves and attire meets Boxing Ontario Standards for the bout Yes If No (Please provide details) Updated July 2013
12 VENUE CONDITIONS 1. Were there adequate dressing rooms 2. Were there adequate warm up areas 3. Was the music at acceptable levels and content 4. Was the lighting at an acceptable level to meet safety standards 5. Were weigh in and medical rooms private and out of view of public and opposite gender Yes If No (Please provide details) 2 Condition of the Ring Condition of the Gloves Type of scales used TECHNICAL Good / Fair / Poor Good / Fair / Poor Digital / Bathroom / Other Comments Number of Clubs Competing Number of Boxers Weighed in Number of Boxers Matched Comments Number of Bouts Exhibitions Decisions: WP TKO TKOI KO DQ Number and type of Injuries Comments Comments Number of Spectators Was Media in Attendance? Yes / No Whom? Was Alcohol Served? Yes / No Company? Issues to be Resolved before Next Club Show. I hereby agree that I have read and fully understand the contents of this report as discussed the Supervisor. Club Representative Signature Date Report Completed By: (Print Name) Signature Date Updated July 2013
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