2017 USA Boxing National Junior Olympics, Prep Nationals and Youth Open Championships. June 25-July 1, 2017 Charleston, West Virginia

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1 2017 USA Boxing National Junior Olympics, Prep Nationals and Youth Open Championships June 25-July 1, 2017 Charleston, West Virginia Registration Deadline: June 19th, 12:00 Midnight - Mountain Time Check-In/Arrival June 25, 2017 Event Dates: June 27 July 1, 2017 Departure July 2, 2017 Event Location: Preliminaries-Finals: Charleston Civic Center 200 Civic Center Dr. Charleston, WV Entry Forms: All Bantam (11-12), Intermediate (13-14) and Junior (15-16) participants will be verified by their Regional Team Entry Form All Pee Wee (8-10) and Youth (17-18) participants must register online at wp?rgs_eventid=16151 This registration will be done on a first come, first serve basis, maxing out at 32 per division. Registration Deadline: Entry Fee: Region Rosters are to be submitted by June 19 th at 12:00 midnight Pee Wee and Youth Deadline is June 19 th at 12:00 midnight There will be a $25.00 entry fee for each Pee Wee and Youth boxer. On Site Check-In: Check-In will take place on Sunday, June 25 from 8:00 AM 12:00 PM and 1:00 PM - 6:00 PM at the Charleston Civic Center. There will NOT be walkup registration. There will be an area set up for the USA Boxing Junior Olympic National Championships Tournament Staff to check-in and verify all participants information with tournament officials. You must provide current passbook in order to participate. NO BOOK NO BOX!!! All boxers must check in on Sunday, June 25, 2017 to be entered into the tournament, general weigh-in and subsequent draw. If you are delayed due to weather, travel issues and/or flight delays, you must call Tournament Director Debbie Holmes at (214) or Events Coordinator Abbey Smith All boxers must have a minimum of five registered bouts in order to compete at the National Level. Walkovers and/or unopposed wins do not count towards the 5-bout rule. **Pee Wee division boxers will not have a mandatory minimum bout rule Pee Wee boxers will have the opportunity to participate in match bouts if available**

2 IMPORTANT Age Determination Date Information: Age will be determined by the boxers YEAR OF BIRTH. Pee Wee: 8-10 Must be born in either 2007, 2008, or 2009 Bantam Division: Must be born in either 2005 or 2006 Intermediate Division: Must be born in either 2003 or 2004 Junior Division: Must be born in either 2001 or 2002 Youth Division: Must be born in either 1999 or 2000 Pee Wee Weight Classes Males/Females: 50lb weight class will be the lowest contested weight class. Additional weight classes will be contested in 5lb increments through the 95lb mark. The remaining weight classes will follow the weight class chart below: Male PEE WEE WEIGHT CLASSES Female Bantam Division Weight Classes: Males/Females: 60lb weight class will be the lowest contested weight class. Additional weight classes will be contested in 5lb increments until the 95lb mark. The remaining weight classes will follow the weight class chart below: Male BANTAM WEIGHT CLASSES Female

3 Intermediate Division Weight Classes: Males/Females: 60lb weight class will be the lowest contested weight class. Additional weight classes will be contested in 5lb increments until the 95lb mark. The remaining weight classes will follow the weight class chart below: Male INTERMEDIATE WEIGHT CLASSES Female Male 41kg/90lbs 43kg/95lbs JUNIOR WEIGHT CLASSES Female 41kg/90lbs 43kg/95lbs

4 Male 49kg/108lbs 56kg/123lbs 64kg/141lbs 69kg/152lbs 81kg/178lbs 91kg/201lbs 91+kg/201+lbs Number Rounds/Duration: YOUTH WEIGHT CLASSES Female 51kg/112lbs 64kg/141lbs 69kg/152lbs 81kg/178lbs 81+kg/178+lbs Males/Females Pee Wee and Bantam: Three, 1-minute rounds Males/Females Intermediate: Three, 1.5-minute rounds Males/Females Junior: Three, 2 minute rounds Males/Females Youth: Three, 3 minute rounds THIS IS NOT AN OPEN TOURNAMENT FOR BANTAM/INTERMEDIATE/JUNIOR DIVISIONS. YOU MUST QUALIFY FOR THIS EVENT THROUGH ONE OF THE STATED TOURNAMENTS BELOW. Qualification Tournaments (for Bantam, Intermediate and Junior Divisions Only): Regional JO Tournaments 2016 National Junior Olympics Junior Division Champions ONLY 2016 National Championships Junior Division Champions ONLY For Pee Wee and Youth only the first 32 registrants per division will be accepted. General Weigh-in: Tournament Draw: Trial Scale: USA Boxing Membership: A general weigh-in that is MANDATORY for ALL ATHLETES will take place on Monday, June 26, 2017 at 7:00AM. The general weigh-in will be held at Charleston Civic Center. ALL ATHLETES MUST BE PRESENT AND SUCCESSFULLY MAKE WEIGHT TO BE ENTERED IN TO THE TOURNAMENT DRAW. No weight allowances given; boxers must be on weight. The draw will take place in the Charleston Civic Center following the General Weigh-ins on Monday, June 26 th. Brackets and bout sheets will be posted upon completion of the draw on and posted at the Charleston Civic Center. MANDATORY: ALL BOXERS MUST HAVE ONE REPRESENTATIVE PRESENT AT THE TOURNEY DRAW. A trial scale will be available at various times throughout the tournament. The times will be posted during Registration. Each tournament participant (Boxers, Coaches, Officials, Physicians, Tournament Administration, etc.) must be registered with USA Boxing for the 2017 membership year, and have proof of registration (Athlete, Coach or Officials passbook with Member ID card). Coaches and Officials must be currently certified. A current physical stating you are fit to compete without restriction must be provided inside your passbook.

5 Travel: All participants are responsible for their own transportation to and from the Junior Olympic National Championships. Ground transportation to and from the airport, hotel any venue used, for the duration of the event, is the responsibility of the participant. Check with your local hotel for shuttle schedules and availability. Conduct & Discipline: Equipment: Individuals deemed guilty of misconduct will be immediately barred from all tournament facilities and required to leave at their own expense. All participants must adhere to the USA Boxing Code of Conduct. USA Boxing will provide competition gloves for all age and weight divisions through the duration of the tournament. Youth and Junior division boxers are encouraged to wear headgears open faced, similar to those used in international competitions. Youth and Junior Boxers will be required to wear Sting brand headgears in the finals, which will be provided. All other divisions must wear USA Boxing/AIBA approved headgears. Youth and Juniors must wear red or blue with a contrasting waist band in accordance to the corner they are boxing out of. Intermediate, Bantam and Pee Wee are encouraged to wear red or blue with a contrasting waist band in accordance to the corner they are boxing out of. Uniform Notes: No adornment may be affixed to the trunks such as metal or plastic objects, sequins, etc. Trunks cannot have fabric that is partially attached and therefore able to flap with the movement of the Boxer. This includes gladiator/thai type trunks, fringe, and tassels. Boxers (male/female) must wear a sleeveless athletic shirt (singlet or jersey), of a different color from the waistband of the trunks. All other items, foul-proof cups, breast protectors, form-fitted mouthpieces, uniforms, tape and gauze, Velpeau, sponges, water bottles, etc., must be provided by the participants. Athlete Entry: All Bantam (11-12), Intermediate (13-14) and Junior (15-16) participants will be verified by their Regional Team Entry Form. All PeeWee (8-10) participants must register online at: wp?rgs_eventid=16151 All Youth (17-18) participants must register online at: wp?rgs_eventid=16151 All Athletes must print the following forms and present them to the tournament staff in Charleston (DO NOT MAIL OR FAX THESE FORMS): USA Boxing Female Athlete Acknowledgement (females only) Braces Release Form Breast Implant Form (females only)

6 It is important that all forms are completed and signed by the participant and their parent and/or guardian. Coaches Entry: Officials Entry: Coach registration must be completed ONLINE at: wp?rgs_eventid=16151 Coaches must be both a current registered and certified coach through USA Boxing in order to work their athlete(s) corner. Please contact your LBC if you need to update your registration and/or certification. Official registration must be turned in ONLINE at: wp?rgs_eventid=16151 All officials are welcome to participate. If you wish to participate or need additional information please contact Angel Villarreal at algvillarreal@yahoo.com. Officials must be registered with USA Boxing for the 2017 membership year, and be currently USA Boxing certified and a minimum Level II Official. All officials must provide a completed official referral form signed by their LBC president and chief of officials. Registration Deadline: Monday, June 19, 12:00 MIDNIGHT Mountain Time CONTACT INFORMATION: Tournament Director: Debbie Holmes Cell: (214) deb.ref@verizon.net USA Boxing Events Coordinator: Abbey Smith Phone: (719) asmith@usaboxing.org

7 HOST HOTEL RATES PROMOTION CODE Charleston Marriott Town Center 200 Lee Street East Charleston, WV Double $139 plus tax per night, includes breakfast for two, free parking, wifi USA Boxing CONTACT INFO (304) AFFILIATE HOTEL RATES PROMOTION CODE Embassy Suites 300 Court Street Charleston, WV Double $129 plus tax per night, includes breakfast for two, free parking, complimentary airport shuttle, wifi USA Boxing CONTACT INFO (304) AFFILIATE HOTEL RATES PROMOTION CODE Four Points by Sheraton Charleston 600 Kanawha Blvd E. Charleston, WV Single/Double/Quad $99 plus tax per night, complimentary airport shuttle, parking, wifi USA Boxing CONTACT INFO (304) AFFILIATE HOTEL RATES PROMOTION CODE Holiday Inn Express 100 Civic Center Drive Charleston, WV **Across the street from the venue Quad $114 plus tax per night, complimentary breakfast, airport shuttle, parking, wifi USA Boxing CONTACT INFO (304) AFFILIATE HOTEL RATES PROMOTION CODE Hampton Inn Charleston-Downtown 1 Virginia Street W Charleston, WV Double $116 plus tax per night, complimentary breakfast, airport shuttle, parking, wifi USA Boxing CONTACT INFO (304)

8 BOXER ENTRY FORM Paperwork Deadline: Monday June 19 th 2017 USA BOXING JUNIOR OLYMPIC NATIONAL CHAMPIONSHIPS OFFICIAL BOXER ENTRY FORM LBC Tournament Sanctioned by USA Boxing: Association, Inc. REGIONAL Tournament Sanctioned by USA Boxing: Association, Inc. NATIONAL Tournament Sanctioned by USA Boxing: USA BOXING NATIONAL OFFICE Association, Inc. PLEASE CHECK APPROPRIATE BOX: MALE FEMALE NAME: Weight Class: Your Age As Of December 31, 2017: LBC: Region Name & No.: Birth Address: (2017) Street City State/Zip Passbook Validation: Phone #: Cell Phone #: Fax: Address: Personal Coach Name & Phone: Your Personal Boxing Club: Do you wear Dental Braces? Yes No If yes you must comply with Article 2, (g) USA Boxing, Inc. rules. WAIVER/WARNING IN CONSIDERATION OF YOUR 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), ANY SANCTIONING LOCAL BOXING COMMITTEE 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 TOURNAMENTS. The USA Boxing Local Championship Tournament at: The United States Amateur Boxing Regional Tournament at: The United States Amateur Boxing National Tournament at: Charleston, WV 6/25-7/1, 2017 AGREE TO ABIDE BY THE RULES OF UNITED STATES 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 INSISTANCE OF ANY OF THE NAMED PARTIES IS NOT AN ADMISSION OF LIABILITY TO PROVIDE OR CONTINUE TO PROVIDE ANY SERVICES AND IS NOT A WAIVER BY ANY OF SAID PARTIES OF ANY RIGHT OR RIGHTS HEREUNDER. I CERTIFY THAT I HAVE HAD 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. IN ADDITION, I ALSO UNDERSTAND AND APPRECIATE THAT PARTICIPATION IN THE SPORT OF BOXING CARRIES A RISK TO ME OF SERIOUS INJURY, INCLUDING PERMANENT PARALYSIS OR DEATH; I VOLUNTARILY AND KNOWINGLY RECOGNIZE, ACCEPT AND ASSUME THIS RISK. Signed: Signed: Participant s Full Name

9 Parent(s) or Guardian(s) 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 to compete in amateur boxing. (Boxer s name) Dentist Approval: Print Name Date Signature State License Number Parent or Legal Guardian Approval (if boxer is a minor): Print Name Signature Date Boxer: Print Name Signature Date

10 DECLARATION OF NON-PREGNANCY FOR FEMALE BOXERS AGED 18 (EIGHTEEN) AND OLDER Place: Name of Competition: I,, declare that I am not pregnant. I understand the seriousness of this statement and accept full responsibility for it. In the case that this declaration is subsequently shown to be inaccurate or untrue and I suffer any related injury or damage during the competition, I, on behalf of myself, my heirs, executors and administrators, waive and release any and all claims for damages I may have against AIBA (including its officials and employees), the organizers of the competition (including the Organizing Committee and/or Host Federation) and the competition venue owners for such injury or damage. Signature of the Boxer DECLARATION OF NON-PREGNANCY FOR FEMALE BOXERS AGED UNDER 18 (EIGHTEEN) Place: Name of Competition: I,, am one of the parents / legal caretaker of (insert name of the boxer) and declare, on her behalf, that she is not pregnant. I understand the seriousness of this statement and accept full responsibility for it. In the case that this declaration is subsequently shown to be inaccurate or untrue and (insert name of boxer) suffers any related injury or damage during the competition, I, on behalf of, (insert name of boxer) her heirs, executors and administrators, waive and release any and all claims for damages she may have against AIBA (including its officials and employees), the organizers of the competition (including the Organizing Committee and/or Host Federation) and the competition venue owners for such injury or damage. Signature of one of the Parents / Legal Caretaker Acknowledged by [Signature of the Boxer]

11 Officials Referral Form Date LBC To Chief of Officials for: 2017 National Junior Olympics Prep Nationals and Youth Open Year / Event This is to certify that is a Level Official and competent to work the tournament listed above. I will: 2017 USA Boxing Member # Referee Judge Timer C/T Last Five Regional or National Events Worked (Minimum Level II for a National Tournament): Year Event Location LBC President: Signature Date LBC Chief of Officials: Signature Date Rev.4/25/17 FORM MUST BE FILLED OUT IN IT S ENTIRETY TWO SIGNATURES REQUIRED

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