METROPOLITAN TOURNAMENT

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1 METROPOLITAN TOURNAMENT EVENT SCHEDULE: Saturday, 10/15/16 ENTRY DEADLINE Friday, 10/28/16 CHURCH STREET B.C. Saturday, 10/29/16 STARRETT CITY B.C. Friday, 11/04/16 SUFFOLK THEATER Saturday, 11/05/16 ELMCOR B.C. Saturday, 11/12/16 HEAVY HITTERS B.C. Saturday, 11/19/16 GLEASON'S GYM SANCTIONED BY: USA BOXING METROPOLITAN ASSOCIATION

2 2016 Metropolitan Championships Fact Sheet Registration Deadline: Saturday, October 15, 1:00PM Forms must be received (not postmarked) by above date! General Tournament Information The Metropolitan Championships Tournament is a tournament open to all Juniors, Novices, Open, Metro Open*, Male, Female and Master boxers. This tournament is open to all boxers regardless of state of residency. All boxers will be grouped according to appropriate age, weight and skill level. "Metro Open" boxers and regular Open boxers will box off in their respective divisions and champions will box for championship belts. You must be currently registered with USA Boxing to participate. Winners of this tournament in the Metro Open division (defined later) will advance to either the 2017 US Championships December 4-11, Kansas City, MO. or the NY State Silver Gloves Tournament scheduled to also take place the first weekend in December. Contested champions will receive Metro sponsorship. Walkover champions will receive a stipend only (amount to be determined). Bear in mind that both the Silver Gloves and Youth Nationals are open tournaments and all are welcome to participate regardless of whether or not they participate or win in this tournament. Metro Open Youth and Juniors must be US Citizens and adhere to a minimum academic requirement in order to advance and/or receive a stipend to either tournament above. Academic requirement All Metro Youth and Jr. entrants seeking advancement to Open State, Regional or National Tournaments must: a. Be enrolled in and attending school. b. Pass all classes (Please attach copy of report card to entry form). c. Any student athlete not passing ALL classes must be involved in some type of official school sanctioned remedial or tutorial program in order to be allowed to advance. Any student athletes or parents concerned should contact the newly appointed Metro J.O. and Youth Development Committee Chair, Mr. Vaughn Benjamin or Ms. Sonya Lamonakis for guidance. In an effort to encourage and support education, the Metropolitan LBC leadership along with its Board of Governors and Coaches Committee has adopted a policy that promotes school attendance, participation and performance with their student/athlete initiative. The Metropolitan Championships recognize and support the importance of student athletes balancing their academic requirements with boxing training. Therefore, the Metros will waive $10 off the entry fees for any athlete who provides a copy of their most recent school report card or college transcript regardless of division or category.

3 Sanction Tournament held under the sanction of USA Boxing, Metropolitan Association. Governance Tournament Co-Directors will be Cassie Rodriguez & Ray Cuadrado who will preside over tournament in conjunction with the Board of Directors of USA Boxing Metropolitan thereby forming tournament committee. In the event Board members are not present Directors shall recruit volunteer officials and coaches to resolve matters of dispute or concern. Awards Championship Belts and medallions will be awarded in all age levels in which bouts are contested. Uncontested champions will recieve a medal and not a belt. Divisions & Class Information Divisions: (Novice, Open - all divisions) Master (Male & Female) - (2 min x 3rds) 35+ -? Yrs old Metro Male Open* - (3min x 3rds) yrs old Male Open - (3min x 3rds) yrs old Male Novice - (2min x 3rds) yrs old Metro Female Open* - (2min x 4rds) yrs old Senior Female Open - (2min x 4rds) yrs old Metro Youth Open* - (3min x 3rds) yrs old Youth Open - (3min x 3rds) yrs old Junior Novice - (2min x 3rds) yrs old Metro Junior Open* - (2min x 3rds) yrs old Junior Open - (2min x 3rds) yrs old Junior Novice - (2min x 3rds) yrs old Metro Intermediate Open - (1.5 min x 3rds) yrs old Intermediate Open - (1.5 min x 3rds) yrs old Intermediate Novice - (1.5 min x 3rds) yrs old Bantam (Open- Novice) - (1min x 3rds) yrs old Pee Wee (Open- Novice) - (1min x 3rds) yrs old *Metro Open boxers are from Metro, who are U.S. Citizens and have boxed in the Metros, Golden Gloves in Metro, etc. and represented Clubs in Metro in the year prior to the start of this tournament. Only Metro Open boxers will be considered for advancement. Non-citizens and non-residents of Metro will box off in the regular open division before boxing the Metro Open champion for the division belt. Weight classes: All weight classes are to be determined according to USA Boxing rules. Boxers must weigh in day of bouts and will have no weight allowance. Boxers who do not make weight on day of competition will be disqualified from tournament. Weight class changes will be allowed up until 10/15/16 provided there is availability in the new weight class. Any changes in weight class must be confirmed in writing via text or and must be done exclusively with the tournament directors.

4 USA Boxing Membership Each tournament participant (Boxers, Coaches, Officials, Physicians, Tournament Administration, etc.) must be registered with USA Boxing for the 2016 membership year, and have proof of registration (Athlete, Coach or Officials passbook with valid membership card). Coaches and Officials must be currently certified. Age Determination Open boxers' age groups will be in accordance with new USA Boxing Rules as per the fact sheet for the 2017 US Champion ships: Registration Early Registration will take place with submission of completed application with fee (made payable to USA Boxing Metro) HAND DELIVERED to Ray Cuadrado at Brotherhood Boxing Club, or Sonya Lamonakis at Gleason's or received by mail to Cassie Rodriguez, PO Box , Brooklyn, NY by Saturday, October 15 by 1:00 p.m. Late Registration may be accepted on a case by case basis provided late fee (additional $10.00) is included with entry form and there is room in the division applied for. Fees for applicants not accepted or in divisions uncontested will be refunded in full. After 10/15/16 all entry fees are nonrefundable except for documented medical exceptions subject to a $10 processing fee for entries in divisions that are contested. Entry Fee The early application (received by 10/15/16) fee is: $20 for all Novices With report card or transcript - $10. $25 for all Open With report card or transcript - $15. $75 for Master boxers, 35+ in Entries received after 10/15/16 will be assessed an additional $10 late fee. Athlete Entry: All Athletes must turn in the following forms to complete the registration process: Athlete Entry Form USA Boxing Code of Conduct Medical Treatment Form Female Acknowledgement Form (females only) Braces Release Form (if applicable) Breast Implant Form (if applicable) Coaches Entry: Coaches must be both a current registered and certified coach through USA Boxing in order to work their athlete(s) corner. Coaches are now required by USA Boxing to obtain a coach s passbook, which contain proof of registration and certification. Coaches whose boxers are scheduled to box must show and submit books upon entry to every club or venue hosting a show during this tournament. Only two qualified coaches per boxer will be allowed to enter at the weigh-in free of charge. All cornermen must be at least 18 yrs.

5 Officials Entry: All registered and certified officials are welcome. If you wish to officiate please contact Metro COO Michael O'Connor at Weigh-ins & Physicals Only boxers scheduled to box are required to report to weigh-ins. Coaches will not be allowed to approach the scale. On Fridays weigh-in will be 530pm-7pm only, on Saturdays weigh-in will be 4pm-530pm only. The boxer will only be allowed one chance to make his weight during each weigh-in but unlimited use of the trial scale will be available for use during the weigh-in. Tournament Draw The draw will take place immediately following the Weigh-ins/Physicals on the first day of competition for that weight division. Conduct & Discipline All participants must adhere to the USA Boxing Code of Conduct, which must be signed and turned in upon event registration. Individuals deemed guilty of misconduct will be immediately barred from all tournament facilities and required to leave at their own expense and subject to further disciplinary action. Tournament Directors, Chief of Officials and highest ranking Coach s Committee member will serve at each show as Judicial Committee to deal with emergency grievance and disciplinary process. Boxers Equipment & Attire The Metropolitan Championships will provide gloves for competition, head gear (if needed), gauze and tank top. All other items (trunks, foul-proof cups, breast protectors, form-fitted mouthpieces, sponges, towels, clear water bottles,etc.) must be provided by the participants. Mouthpiece All boxers are required to provide their own individually fitted mouthpiece in accordance to USA Boxing rules. New rules prohibit red mouthpiece or any red coloring (pink, orange, etc.) on mouthpiece. Headgear & No-foul protector Open athletes must wear open face headgear. Male boxers are required to wear USA Boxing approved no-foul protectors. Boxing Apparel Boxers will be allowed to wear their own trunks during competition in accordance to USA Boxing rules. The boxer s legal name and registered boxing club logo are permitted. Boxer cannot have tape or binding on any part of uniform. Grooming JO, Youth and Senior boxers must be CLEAN SHAVEN before the weigh-ins. Sideburns are not permitted to extend below the earlobe. Facial hair shall be allowed on master boxers; moustaches and neatly trimmed beards of less than two (2) inches in length. Boxers who do not report to the weigh-ins groomed as required will be denied permission to weigh-in. Hair nets are mandatory for any boxer with long hair. Hand wraps Velpeau hand wraps are acceptable but must conform to USA Boxing rule on hand wraps.

6 2016 Metropolitan Championships Athlete Entry Form Please Print or Type All Information APPLICATION MUST BE COMPLETE! (Failure to provide accurate info, working phone numbers and will interfere with tournament notification process and disqualify boxer from tournament.) BOXER First Name Last Name M.I. Address City State Zip Code Home/work ( ) - Cell ( ) - Date of Birth: / / Age *NOTE: The Metros will be using the new AIBA age group definitions as well as the new AIBA rule that starting in January 1, 2017 age will be determined by birth date. (See fact sheet ) USA Boxing Registration #: Male Female * Record: W L Grade: School & address: Report Card/Transcript/Progress Report Attached: ( ) US Citizen Yes No (Metro open athletes that are US Citizens must attach copy of birth certificate) Club Gym Telephone ( ) ST Coach Coach Telephone ( ) - USA Boxing Registration Number: nd Coach Coach Telephone ( ) - USA Boxing Registration Number: CLASSIFICATION OF BOXERS: (Age determined by date of birth) NO WEIGHT ALLOWANCES Junior Olympic age divisions: Novice Open Pee Wee (Ages 8-9; on or before 12/4/16): Intermediate (Ages 12-13; on or before 12/4/16): Bantam (Ages 10-11; on or before 12/4/16): Junior (Ages 14-15; on or before 12/4/16): Weight Class (check one): Men: Youth: (16-17) Novice Open Senior: (18-40) Novice Open Master (35+) : WEIGHT CLASS (check one): Women: Youth: (16-17) Novice Open Senior: (18-40) Novice Open Master (35+) * WEIGHT CLASS (check one): *WOMEN MUST SIGN AND ATTACH THE FEMALE ACKNOWLEDGEMENT FORM IF ENTRANT IS UNDER 18 YEARS OF AGE, HE/SHE MUST HAVE THE CONSENT OF PARENT OR GUARDIAN, WHO MUST EXECUTE THE CONSENT ON THE REVERSE SIDE.

7 WAIVER/WARNING/DISCLAIMER In consideration of your acceptance of this entry to participate in the Metropolitan Championships and activities connected to same, I hereby, for myself, my heirs, executors, administrators and assigns and personal representatives waive and release any and all right to any claim for damages I may or might have against USA Boxing, Inc. and USA Boxing, Metropolitan Association, sponsors and venue owners of this event or the officers, members, employees, subcommittees, agents, representatives and assigns of these entities, for any injury or damages suffered by me, or my child, whether arising from the negligence of the releases or otherwise, all claims, actions, suits, proceedings, costs, expenses, damages and liabilities arising out of, compile with or resulting from, my or my child s participation in the Metropolitan Championships, including, without limitation, any injuries or damages, and or arising from traveling to and/or returning from the Metropolitan Championships. I agree for myself and my heirs, distributes, guardians, legal representatives, and assigns that in the event that any claims for personal injury, death, or property damage shall be prosecuted against the USA Boxing, Metropolitan Association or USA Boxing their members, officers, employees, or agents, I shall indemnify and hold harmless the Metropolitan Boxing Association or United States Amateur Boxing their members, officers, employees, or agents from any and all such claims or causes of action by whoever made and wherever presented. I agree to abide by the rules of U.S.A. Boxing. If I observe any unusual, significant violations or hazards during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately. 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 are 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 (3) years 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. In addition, I also understand and appreciate that participation in sports carries a risk to me of serious injury, including permanent paralysis or death. I voluntarily and knowingly recognize, accept, and assume this risk. I, as a member of the United States Amateur Boxing (USA Boxing), understand and must comply with the guidelines as set forth in USA Boxing s Code of Conduct. I understand that this Code of Conduct applies to any and all athlete and nonathlete members of USA Boxing while participating in USA Boxing sponsored activities. I also understand any and all athlete and non-athlete members are required to abide by this Code of Conduct and all United States Olympic Committee policies, rules and regulations. By signing this entry form, I acknowledge that I have previously read the fact sheet, understand it and am willing to accept the conditions as outlined in it. I also acknowledge and accept the consequences and disciplinary procedures that could be enforced if I violate any of the codes/rules. I have read all tournament literature and accept terms. X Signature of Participant: Print: Date / / X Signature of Parent Print: Date / / (or Legal Guardian if under 18 yrs of age) X Coach's Signature: Print: Date / / Application Process and Fees All forms and applications must be completed and submitted with fee for registration to be accepted. Forms can be submitted in person to Ray Cuadrado at Brotherhood BC., Sonya Lamonakis at Gleason's Gym from 3:00 pm to 8:00 pm Monday thru Friday OR via mail to Cassie Rodriguez but must be received by 10/15/16. Saturday 10/15/16 registrations will be accepted in person from 10am to 1pm and will be considered timely. The early application fee is $20.00 for Junior Olympians, $20.00 for Novice, $25.00 for Open and $75.00 for Masters.(Subtract $10 if current report card/college transcript attached.) Any entries received after 10/15/16, if accepted, will incur an additional $10.00 late fee.. NO EXCEPTIONS! Cash or money orders will be accepted for in-person registration days. Application fees are non-refundable for those with boxers in their divisions, who no-show or fail to make weight but refundable for those that withdraw prior to 10/15/16 and who are in uncontested divisions. Make money orders payable to: USA Boxing Metro. Send entries with entry fee to: Cassie Rodriguez., PO Box , Brooklyn, NY 11237,

8 United States Amateur Boxing Inc. Female Athlete Acknowledgement Name of Event Date Sanction # Sanctioned by and United States Amateur Boxing (Section above to be completed by Sanction Holder) Must be completed and signed by female athletes each time they compete. Name: LBC Name & # Address Street City Zip Code Birth date USA Boxing Registration # Acknowledgement I CERTIFY THAT I AM NOT PREGNANT, NOR DO I 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), RECENT BREAST BLEEDING, RECENTLY DEVELOPED BREAST MASS, RECENT BREAST DYSFUNCTION PREVIOUSLY NOT PRESENT OR SURGICAL BREAST IMPLANTS, AND HAVE READ SECTION 101.9(4) OF USA BOXING S OFFICIAL RULES PERTAINING TO MY PRESENT PHYSICAL CONDITION. I FURTHER AGREE THAT I WILL IMMEDIATELY NOTIFY MY COACH, TRAINER OR OTHER LOCAL BOXING OFFICALS IF ANY OF THE ABOVE DESCRIBED CONDITIONS SHOULD DEVELOP/APPLY. (SECTION 101.9(4) OF USA BOXING S OFFICIAL RULES IS INCORPORATED IN THIS ACKNOWLEDGEMENT BY REFERENCE). I, the undersigned, have read this Acknowledgement. Signed (Participant s Full Name) Date Signed Date (Participant s Legal Guardian) *REQUIRED IF ATHLETE IS A MINOR 12/2004 This Form may be reproduced

9 USA Boxing, Inc Metropolitan Championship Release to Compete With Braces USA Boxing Rule (4) (g) Boxers who wish to compete with braces are required to have attached to their passbooks a completed Release To Compete With Braces form. This form requires the written approval of their dentist, parents and/or guardian (if under 18 years of age) and a dentist-molded mouthpiece. This includes upper and/or lower braces. Boxers competing with braces waive the right to dental coverage under the USA Boxing insurance program. I understand the above rule and give my permission for compete in amateur boxing. Dentist Approval: (Boxer s name) to Print Name Signature Date State License Number Parent or Legal Guardian Approval (if boxer is a minor): Print Name Signature Date Athlete: Print Name Signature Date

10 Athlete/Non-Athlete Code of Conduct Outlined below is the USA Boxing Code of Conduct I understand that my compliance with the Code is a requirement for my participation in USA Boxing events. I recognize that my participation in this event is an honor. I also recognize that this Code does not establish a complete set of rules that prescribes every aspect of appropriate behavior. Further, I: 1. Will act in a manner consistent with the spirit of fair play and responsible conduct; 2. Will recognize, respect and adhere to the authority of USA Boxing s appointed coaches and team leaders; 3. Will attend and arrive at all team functions a minimum of 5 minutes prior to the scheduled start, to include meetings, practices, press conferences, competitions, etc. unless excused or otherwise instructed by the team leader or USA Boxing s designee; 4. Will comply with USA Boxing and the Metropolitan Association uniform requirements; 5. Will adhere to all curfews established by the team leader or USA Boxing s designee; 6. Will not commit a doping violation as defined by the International Olympic Committee (IOC), Association International de Boxe Amateur (AIBA), World Anti-Doping Agency (WADA), the United States Anti-Doping Agency (USADA), or the United States Olympic Committee (USOC) rules; 7. Will abide by the policies and rules established by USA Boxing and Metro's Board of Directors; 8. Will respect others, including my teammates, coaches, competitors, officials and spectators; 9. Will not engage in, nor tolerate, any form of verbal, physical or sexual abuse; 10. Will respect the property of others; 11. Will refrain from profanity and derogatory language that would reflect negatively on myself and USA Boxing; 12. Will refrain from illegal or inappropriate behavior that would detract from a positive image of myself and USA Boxing; 13. Will refrain from engaging in any behavior that could detract from my ability, or my teammates ability, to perform optimally; 14. Will cooperate with USA Boxing s grievance process and Judicial Committee requests. Any member present during any violation of the Code of Conduct should leave the area immediately or be considered a participant by choice. Disciplinary Procedures and Penalties Failure to comply with the Code of Conduct set forth in this document for USA Boxing may result in disciplinary action in accordance with the penalties outlined in this agreement. Penalties could include: 1. Temporary or permanent termination of USA Boxing membership. 2. Suspension from USA Boxing activities for a specified period. Following any proposed disciplinary action by USA Boxing against a member, the member has a right to a hearing by the Judicial Committee, if requested in the statute of limitations and submitted with the filing fee. Any appeal taken for disciplinary action rendered in an emergency hearing shall be to USA Boxing s CEO and will be conducted in accordance with Article XVI, of USA Boxing s 2015 revised Constitution and By-laws. Acceptance I pledge to uphold the spirit of this Code, which offers a general guide to my conduct as a participant in a USA Boxing event. I agree to follow the USA Boxing Grievance Procedures if I am charged with violation of the Code. I have familiarized myself with the Code and understand that my acceptance of it, as signified by my signature below, is a condition of my membership in this USA Boxing event. Participant Name (Printed) Date Participant Name (Signature) Name of Event Witness

11 MEDICAL TREATMENT FORM TO: 2016 Metropolitan Championships Participants FROM: USA Boxing, Metropolitan Boxing Association SUBJECT: Medical Treatment Form United States Amateur Boxing s insurance company requires a signed medical treatment form either authorizing emergency medical treatment or not authorizing medical treatment for all participating individuals. Participants under 18 years of age, are required to have parental / guardian signatures as well. Please complete and sign the attached form. Be sure to indicate whether treatment is approved or not approved. Thank you for your assistance with this matter. MEDICAL TREATMENT FORM I AUTHORIZE a duly appointed representative of United States Amateur Boxing, Inc., to consent to emergency medical treatment during my participation in USA Boxing s sanctioned event. I DECLINE to authorize consent for emergency medical treatment during my participation in USA Boxing s sanctioned event for the following reasons: If you marked DECLINE, please mark one of the following: Religious Personal Other: Signed: (Athlete Signature) Date: Signed: (Parent/Guardian Signature for athletes under 18 yrs.) Date: Rev.04/18/13 FORM MUST BE FILLED OUT IN ITS ENTIRETY

12 USA Boxing, Inc. Release To Compete With Breast Implants Boxers who wish to compete with breast implants are required to have attached to their passbooks a completed Release To Compete With Breast Implants form. This form requires the written approval of their plastic surgeon, their primary care provider and, parent and/or guardian (if under 18 years of age). Boxers competing with breast implants will not be covered under the USA Boxing insurance program for damage to the implants, replacement of same or injury occurring from such damage. I understand the above rule and give my permission for compete in amateur boxing. (Boxer s name) to Plastic Surgeon Approval: Print Name Signature Date State License Number Primary Care Physician Approval: Print Name Signature Date State License Number Parent or Legal Guardian Approval (if boxer is a minor): Print Name Signature Date Athlete: Print Name Signature Date

13 BOXER MUST HAVE ITEMS 1. USA BOXING COMPETITION PASSBOOK w/medical CERTIFICATE ATTACHED METROPOLITAN CHAMPIONSHIPS ENTRY FORM 3. CODE OF CONDUCT 4. MEDICAL TREATMENT FORM 5. REPORT CARD, TRANSCRIPT OR SCHOOL PROGRESS REPORT (IF APPLICABLE) 6. FEMALE ACKNOWLEDGEMENT FORM (FEMALES ONLY) 7. BRACES RELEASE FORM (IF APPLICABLE) 8. BREAST IMPLANT FORM (IF APPLICABLE) 9. ENTRY FEE $20 for Novice or $10 w/current report card. $25 for Open or $15 w/current report card. $75 for Master boxers (35+ in 2016) Late Fee (if applicable) $ BOXING EQUIPMENT-USA Boxing approved Headgear (Open face for Open boxers) & Groin protector, Mouthguard (no red), Uniform, Boxing Boots, Gauze/Tape or Velpeau. COACHES MUST HAVE ITEMS 1. USA BOXING RED COACH S PASSBOOK-Current Membership and Certification 2. CORNERMAN SUPPLIES-Gauze/Tape, Scissors, Towel, Vaseline, Water in CLEAR bottle.

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