August 26th-28th
Presents Sugar Bert Boxing TITLE Belt National Qualifiers Sugar Bert Boxing Promotions would like to thank you for the interest in participating in the Sugar Bert Boxing Title Belt National Qualifiers and advancing on to the Sugar Bert Boxing Title Belt National Championship. This 3 day tournament is an event for ALL boxers of ALL ages (Pee Wee, Bantam, Intermediate, Junior, Elite and Master). The winners of each weight class division(s) that win a Title Belt will advance to the National Championship, November 18 th -21 st 2016 in Kissimmee, FL at The Park Inn Radisson Resort Disney World. All Unopposed Winners will receive a Trophy and will also advance to the National Championship in Kissimmee, FL- Disney World. The 1 st 500 boxers that register will receive a gift. USA Boxing Association Sanctioned Event 2
Sugar Bert Boxing TITLE Belt National Qualifier Columbus, GA Hosted at: Columbus State University - Lumpkin Center 4225University Avenue, Columbus, GA. 31907 3
Registration Information Cost for Tournament: Entry Fee $35.00 $25.00 with proof of lodging at the Host or Official hotels Proof of Lodging required at Registration (Must obtain from Front Desk at Hotel) Please PRE-REGISTER (This will help with bracketing) Click Here to Pre-Register Day 1 Registration: August 26 th, 2016 (Friday) Registration start time: 12:00P.M. 7:00 P.M. Registration By Appointment: 7:00P.M. 8:00P.M. Location: Host Hotel Doubletree by Hilton Hotel Address: 5351 Sidney Simons Blvd., Columbus GA. 31904 Day 2 Competition August 27 th, 2016 (Saturday) Weigh-ins: 7:00 A.M. Start time: 11:00 A.M. 10:00 P.M. with a break at 3:00 P.M. Doors Open: 10:00A.M. Location: Columbus State University - Lumpkin Center Address: 4225 University Avenue, Columbus, GA. 31907 Day 3 Competition August 28 th, 2016 (Sunday) Weigh-ins: 7:00 A.M. Start time 11:00 A.M. 10:00 P.M. with a break at 3:00 P.M. Doors Open: 10:00A.M. Location: Columbus State University - Lumpkin Center Address: 4225 University Avenue, Columbus, GA. 31907 Sugar Bert Boxing Promotions Team Leaders: Bert Wells aka Sugar Bert - President & CEO Edith Galarza - Chief of Officials Buddy Davis - Tournament Admin Marlon Bussey - Director of Operations/ Site Locations Lisa Wells - Executive Administrator Ysefe Shabazz - Coaches Admin Vince Bailey Director of Media/ Announcer Abbey Smith Tournament Admin 4
Division Sugar Bert Boxing National Championship Series Class Information Division & Age: Elite Age 17 40 years Junior Age 15 16 years Intermediate Age 13 14 years Bantam Age 11 12 years Pee Wee Age 8 10 years Women ALL Ages and weight Classes Master Over 40 IF THERE ARE ENOUGH YOUTH 17-18 in the different weights, we will have a youth category Division determined by year of birth (i.e. born in 1999, you are 17) Weight Classes: Elite Men (Youth) weight classes: 108, 114, 123, 132, 141, 152, 165, 178, 201 and a 201+ lbs Elite Women (Youth) weight classes: 106, 112, 119, 125, 132, 141, 152, 165, 178, 178+ lbs Junior weight classes: 80, 85, 90, 95, 101, 106, 110, 114, 119, 125, 132, 138, 145, 154, 165, 176, 176+ lbs Intermediate/Pee Wee/Bantam weight classes: 60, 65, 70, 75, 80, 85, 90, 95, 101, 106, 110, 114, 119, 125, 132, 138, 145, 154, 165, 176, 176+ lbs Note: There will be a JO Novice/Open weight class for the most popular weights Bout #11 moves you into Open division Master Division, Master matches will be made in accordance with AIBA/USA match bout rules. You must be 40 year of age or older. Entry Information: Cash or Money Orders Only! www.sugarbertboxing.com Click on EVENTS, There is a link! Invitation is extended to ALL AIBA/USA Boxing certified coaches (An Updated Passbook and Certification is required). Ticket Purchases Go to http://www.eventbrite.com/o/sugar-bert-boxing-promotions- 9634504724 to purchase your tickets! 5
Equipment and Apparel: Mouthpiece All boxers are required to wear an individually fitted mouthpiece. No red mouthpiece or shades of red are allowed. Headgear AIBA/USA Boxing approved competitive headgear are mandatory for all contestants. AIBA/USA Boxing approved no-foul protectors are required for all male/female boxers. Athlete apparel Boxers are required to wear trunks with a contrasting waist band and a sleeveless boxing shirt while competing in the tournament. NOTE: Referees shall disqualify boxers who do not follow AIBA/USA Boxing Rules and Guidelines! Parking: Free Complimentary Parking Grooming: Boxers must be CLEAN SHAVEN before the weigh-ins and tournament. No facial hair. Hair must be cut in such a manner as not to interfere with the vision of the boxer. Boxers WHO DO NOT report to the weigh-ins groomed as required will be denied permission to weigh-in. Medical: Medical Authorization Forms Coaches are responsible for bringing a signed medical treatment authorization form for each boxer under the age of 18 years (included in this packet). Coaches are required to keep these treatment forms on site at all times during the tournament for quick availability. Officials: Boxing officials, judges, referees, and timekeepers are invited to officiate at this tournament. Official s registration application must include their AIBA/USA Boxing registration number. Referees, judges, and timekeepers in all sanctioned AIBA/USA Boxing competitions shall be dressed in a white shirt, black trousers, and boxing shoes without heels. Judges and officials must have current certificates in their possession for 2016. AIBA/USA Boxing PASSBOOKS - All boxers are required to present their AIBA/USA Boxing PASSBOOKS at registration. Out of State Boxers will NOT be permitted to register for AIBA/USA Boxing PASSBOOKS at registration. USA Boxing PASSBOOKS must be secured in the boxer s USA Boxing Association district. ALL OFFICIALS MUST REGISTER ONLINE AT http://www.emailmeform.com/builder/form/rqxdp7596dbofats Websites: sugarbertboxingpromotions.com usaboxing.org Titleboxing.com 6
Dear Boxing Coaches and Officials: The Sugar Bert Boxing National Championship Series is Presented by Sugar Bert Boxing Promotions. The Sugar Bert Boxing Promotions is hosting the Sugar Bert Boxing Title Belt National Qualifiers scheduled for August 26 th August 28 th, 2016. We invite you, your boxers, and your club to compete in this tournament. We have enclosed important information about the tournament as well as the registration form. Please duplicate as needed. Read this information thoroughly, many areas have been updated with information that may affect your participation. Registration for official(s) willing to assist with the competition is also included. Officials Registration: Please use the following link if you are interested in officiating the event! http://www.emailmeform.com/builder/form/rqxdp7596dbofats We have enclosed the Host hotel and event location information. Host Hotel: Double Tree by Hilton Hotel 5351 Sidney Simons Blvd. Columbus, Georgia 31904 Event Location: Columbus State University - Lumpkin Center Address: 4225 University Avenue, Columbus, GA. 31907 Coach and Official Mixer Location: Houlihan s attached to the Doubletree by Hilton Hotel More Information to come. Sincerely, Bert Wells aka Sugar Bert President & CEO 7
Host Hotel Accommodations Partner of Sugar Bert Boxing National Qualifier Doubletree by Hilton Hotel 5351 Sidney Simons Blvd., Columbus GA. 31904 1-706-327-6868 Website Price: $79.99 RESERVATION PROCEDURES: Individual Call In: each caller is asked to reference the Sugar Bert Boxing Promotions when making reservation use Code: SBBP CHECK-IN/CHECK-OUT: The hotel check-in time is 3:00 P.M. Room assignments prior to that time will be made on an availability basis. Checkout time is 12:00 P.M. late checkouts must be approved by the Front Office Manager based on expected arrivals for that day. CUT-OFF DATE: TBA 8
Official Hotel Information: Courtyard by Marriott 3501 Courtyard Way Columbus GA. 31909 1-706-323-2323* Price: $79 LaQuinta Inn & Suite 2919 Warm Springs Rd. Columbus GA. 31909 1-706-323-4344* Price: $70 Holiday Inn North 2800 Manchester Expy Columbus GA. 31904 1-706-324-0231* Price: $66 **Please call to book rooms and use reservation code SBBP to receive the discounted rate ***All rates are based on availability within the reserved block. Please book hotels early to ensure availability 9
BOXING ENTRY FORM Sugar Bert Boxing Title Belt National Qualifiers PRESENTED BY Sugar Bert Boxing Promotions Registration August 26, 2016 Event August 27 thru August 28, 2016 Please print or type all information Date: Name First Middle Initial Last Address City State Country Zip Code Home Tele: - - Office: - - Cell: - - Email Address Facebook Address Twitter Date of Birth Weight Category lbs. Height Club Represented: Number of Bouts: Class: Open Novice (10 bouts or less) Male Female Pee Wee Bantam Intermediate Junior Youth Elite Master USA BOXING CODE OF CONDUCT I am a member of AIBA or United States Booking, Inc. (USA Boxing). I understand and must comply with the guidelines as set forth in the USA Boxing Code of Conduct. I understand that this Code of Conduct applies to any and all athlete and non-athlete members and requires that I abide by this Code of Conduct and all United States Olympic Committee policies, rules, and regulations. By signing this Code of Conduct, I acknowledge that I have previously read it, 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. Participant s Signature Date Parent/Guardian s Signature (if under 18 years of age) Date 10
WAIVER/WARNING/DISCLAIMER In consideration of my participation in the activities of the Sugar Bert Boxing Qualifier National Championship Series and connected activities, I the undersigned, on behalf of myself, my heirs, representatives, executors, administrators and assigns, do hereby release, indemnify, and hold harmless the Sugar Bert Boxing Promotions/Sugar Bert Boxing National Championship Series, and AIBA/USA Boxing, their members, its officers, agents, and employees from any cause of action, claims, or demands of any nature whatsoever, which I, my heirs, representatives, executors, administrators and assigns may now have, or have in the future against all parties on account of personal injury, property damage, death or accident of any kind, including any act or omission of any third party (rescue squad, hospital, etc...), arising out of or in any way related to my participation in any and all Sugar Bert Boxing Promotions National Championship Series activities, whether that participation is supervised or unsupervised, howsoever the injury or damage is caused I agree myself and heirs, distribute, guardians, legal representatives, and assign that in the event that any claims for personal injury, death, or property damage shall be prosecuted against the Sugar Bert Boxing Promotions/Sugar Bert Boxing National Championship Series, or AIBA/USA Boxing their members, officers, employees, or agents, I shall indemnify and hold harmless the Sugar Bert Boxing Promotions/Sugar Bert Boxing National Championship Series, AIBA/USA 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 the AIBA/USA 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 had no injuries to my hands, neither fractures nor broken bones, within three (3) 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 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. FEMALE BOXERS ONLY: I further certify that I am not pregnant, or have any painful pelvic discomfort such as symptomatic endometriosis or other causes, abnormal vaginal bleeding of undetermined causes (Etiology), recent loss of menstrual period (second amenorrhea), recently developed breast mass, recent breast dysfunction previously not present or surgical breast implants, and have read section 101.9(4) of USA Boxing Official Rules pertaining to my present condition. I have carefully read this Release of Liability. I fully understand its contents, I am aware that this is a release of liability. I sign same of my own free will. Participant s Signature Date: Signature of Parent/Guardian (if under 18 years of age): Address/City/State/Zip 11
DECLARATION OF NON PREGNANCY FOR WOMEN BOXERS AGED 18 (EIGHTEEN) AND OLDER Date: Place: Name of Competition: Sugar Bert Boxing Title Belt National Qualifier 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 USA Boxing (including its officials and employees), the organizers of the competition (including the Organizing Committee and/or the Host Federation) and the Competition Venue owners for such injury or damage. 12
CONSENT FOR SOMEONE ELSE TO AUTHORIZE TREATMENT As the parent or legal guardian of, I hereby Authorize and give my consent for any emergency medical, surgical, or dental treatment for my child (listed above), should it be deemed advisable by a qualified medical doctor or dentist. Mr. & Mrs., coach or another responsible adult escort is authorized to act on my behalf should a medical/dental emergency arise while participating in the 2016 Sugar Bert Boxing Title Belt National Qualifier Tournament. I understand this is to avoid undue delay and assure prompt attention/treatment and that only a licensed and qualified medical doctor/dentist will be engaged for such an emergency. During this period, the parent or legal guardian of the above named child will be at the following location: Signature: Tele: - - Address: City: State: Zip: Email: I solemnly swear or affirm that the answers I have made to each and all of the questions on the form are complete and true to the best of my knowledge and belief. Participant Print Name Date Signature of Participant Date Parent/Guardian Print Name (if participant under 18 years) Date Signature of Parent/Guardian (if participant under 18 years) Date 13