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To Register: https://2020ncazaleafestboxingapp.my-trs.com/ 72 North Carolina Azalea Festival & 42 Annual Boxing Tournament & 1st Master Tournament
Sponsor by
NC Azalea Festival & Friends of Boxing, Inc.
April 3rd, 4th, & 5th, 2020
Friday, Saturday, & Sunday
Special Guest 2020 NC Azalea Festival Queen Admission Free “Championship Belts”
42th North Carolina Azalea Festival Boxing Tournament & 1st Masters Tournament
Sanction Number: 2020North Carolina Azalea Festival Boxing Tournament is held under the sanction of North Carolina USA Boxing Inc. Date: April 3rd, 4th, & 5th, 2020 Host: Wilmington, North Carolina Host Hotel: Sleep Inn 5225 Market Street Wilmington, NC 28405 Rate: $99.00(910-313-6665. MainStay Suites 5229Market Street Rate 109.00(910)392-1741, (MainStay is right beside Sleep Inn) Baymont Inn 4926 Market St. $72.00 (910)-791-8850 Venue: Wilmington, NC Convention Center, 515 Nutt St. Wilmington, NC 28401 Contact Person: Coach Andre Thompson: (910) 622-5382, E-mail: andre.thompson@live.com Entry Procedure: Must Pre-register on line with NC Azalea Festival Website. Entry Fee $10.00 before or on April 2, 2020 Online Entry Deadline: April 2, 2020. All online application & roster must be turn in by April 2, 2020 Online Registration: Log on to NC Azalea Festival Website. Online will close April 2, 2020, Boxers can also logon USA Boxing Website, & NC Azalea Festival Website, or Ringside, Inc. Website Confirmation: All boxers name, age & number of bouts need to be text, email or call into Coach Andre. Walk in/Paper Registration: $20 Entry Fee Friday April 3 at 5p-8p. Need to be early enough to be in draw. Arrival Date, & Registration, Friday April 3, 5pm-8pm at Sports Acdemy. General Weigh-ins: 5pm-8pm Friday Night at Sleep Inn (All Boxers must Weigh-in on Friday To Be Place In Draw, Drawing: 9pm after Registration, Official Weigh-in 8am-9am on Saturday Morning at Sports Academy Event Day/Dates & Start Time: Saturday April 4 at 2:00pm & Sunday April 5at 2:00pm Weigh-In: Sunday 8:00am to 9:00am at Academy Sports NO registration on Saturday or Sunday! Boxers need to weigh in on Friday to be in the draw. Classification of Boxer: Novice: Less than 10 Bouts, Open: More than 10 Bouts (Boxer can box in the open division with five bouts) Youth /Men 17-18 & 19-40: 108,114,123,132,141,152,165,178,201,201+ (Three 3minute Rds.) Youth /Women 17-18 & 19-40: 106,112,119,125,132,141,152,165,178,178+ (Three 3minutes Rds.) Junior Men 15-16: 101,106,110,114,119,125,132,138,145,154,165,176, 176+ Female 15-16: 106,110,114, 119,125,132,138, 145, 154,165,176, 176+ Intermediate Boys & Girls 13-14: 101,106,110,114,119,125,132,138,145,154,165,176, 176+ 11-12: 60,65,70,75,80,85,90,95.101.106,110,114,119,125,132,138,145,154,165,176,176+. 9-10: 50,65,70,75,80,85,90,95,101106,110,114,119,125,132,138,145,154,165,178) 8: must turn 8 by April 5, 2018 Master Division: 35-UP: 101-108,114,123,132,141,152,165,178,201,201+ Master Boxing Information
Important Information
. Direction to Hotel
From: (HWY I-40) Take 40 East into Wilmington, look to your left & you will see Corning Company on your left. You will be coming in on South College Rd & coming up on a Bridge. Slow Down on top of bridge & turn right at Sign HWY 17, coming off the bridge you will turn left & hotel will be on your Right. (Sleep Inn )
From: (HWY 74-76) Take 74 East into Wilmington & Crossover bridge & make a left turn off the bridge onto 3rd St. Burger King will be in front of you on your left. Make left turn at Burger King and keep traveling down 3rd & make a right turn Market St. Stay in your right lane & travel down Market St. & hotel will be on your left.
From: (421) & all other direction you will follow the same direction at from above.
ATHLETE ENTRY FORM
[2020 NC Azalea Festival Tournament] OFFICIAL ATHLETE ENTRY FORM Application (Must be received by April 2) Online Registration Close April 2, 2020 Midnight US participants must be a current member of USA Boxing in order to compete & International participant must be a current member of a local boxing organization in order to compete.
LBC Tournament Sanctioned by USA Boxing: North Carolina Association, Inc.
NAME: Weight Class: You’re Age as Of April 3, [2020]:
LBC: Region Name & No.: Birth Date:
Address: Passbook Validation: Street City State/Zip
Phone #: Cell Phone #: Fax: Email Address:
Personal Coach Name & Phone: Your Personal Boxing Club:
______ _____ ___________ ____________ Make Check Payable to NC Azalea Festival Novice/ Open, Weight Class, Total # of Bouts, Entry Fee Enclosed $10 _______ before April 4, $20 on April 5
Men Novice/Open 19-40: 108, 114, 123, 132, 141, 152, 165,178, 201, 201+, Women Novice/Open 19-40: 106, 112, 119, 125, 132, 141, 152, 165, 178, 178+ Men Novice/Open 17-18: 108, 114, 123, 132, 141, 152, 165,178, 201, 201+, Women Novice/Open 17-18: 106, 112, 125, 132, 141, 152, 165,178, 178+ Youth Novice/Open 15/16: 101,106,110,114, 119, 125, 132, 138, 145, 154, 165, 176,176+ Youth Novice/Open 13-14: 101,106,110,114, 119, 125, 132, 138, 145, 154, 165, 176, 176+ Youth Novice/Open 11-12: 60-154 : Youth Novice/Open 9-10: 60 to 154, Youth Novice/Open 8: 50-to 140 Master Men Novice/Open: 108, 114, 123, 132, 141, 152, 165, 178, 201, 201+ , Master Women Novice/Open 106, 112, 119, 125, 132, 141, 152, 165, 178, 178+
Open Class must have 5 bouts Novice Class must have 9 or fewer recorded bouts 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.
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: Date:
Participant’s Full Name Parent(s) or Guardian(s)
REQUIRED FOR ALL PARTICIPANTS
USA Boxing, Inc. 2020 NC Azalea Festival
Release to Compete With Braces
USA Boxing Technical Rule 5.1.3.1. 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 Signature
___________________________________ __________________________________ Date State License Number
Parent or Legal Guardian Approval (if boxer is a minor):
_____________________________ ____________________________ ____________ Print Name Signature Date
Athlete:
_____________________________ ____________________________ ____________ Print Name Signature Date
MEDICAL TREATMENT FORM
TO: NC Azalea Festival
FROM: USA Boxing Events Department
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. Please do not hesitate to contact the Events Department at USA Boxing Headquarters at (719) 866-2304 if you have any questions.
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: Date: (Athlete Signature)
Signed: Date: (Parent/Guardian Signature for athletes under 18 yrs.)
Rev.01/02/20 FORM MUST BE FILLED OUT IN ITS ENTIRETY
2020 NC AZALEA FESTIVAL ANNUAL BOXING CHAMPIONSHIP INVITATIONAL FOR INTERNATIONAL BOXERS COMING FROM OUTSIDE THE UNITED STATES
April 3-5, 2020 Wilmington, NC Convention 515 Nutt Street Wilmington, NC 28401
Held under the sanction of USA Boxing, Inc. North Carolina Friends of Boxing, Inc. 4613 Whiteweld Terrace Dr. Wilmington, NC 28401 To: International Amateur Boxing Coaches, Boxers, Team Manager, & Doctors This letter serve as an official invitational for amateur boxers, who are coming from outside the United States, to participate in the 2020 NC Azalea Festival and may also be used for visa request. Elite male amateur boxers are eligible to compete at the 2020 Azalea Festival Boxing Tournament if they provide a letter/travel permit from your local AIBA-registered boxing federation. The letter must list the specific names of each boxer and state they are approved to compete in the 2019 NC Azalea Festival Annual Boxing Tournament with headgear.
Every international club & athlete, including Canada, is required to obtain a written authorization letter from their Federation/Association to participate. This authorization letter must be provided to NC Azalea Festival/Friends of Boxing, Inc. with all the participants’ entry forms, so we can complete reporting obligations to USA Boxing. All international athletes and coaches must have a current-dated International or Federation/ Association passbook. Insurance for all 2 competition date is required through your Federation/Association. The proof of your federation/association insurance, or request for insurance, must be provided before March 3, 2020 . If your federation does not provide insurance, you must be insured through TravMed, an Olympic insurance program, at a cost of $5.00 per day, per person. Athletes must be covered and coaches should be covered. Additional members of your delegation may also wish to carry this medical insurance at the same cost. It is suggested you insure I for every day of travel in addition to date’s competition. We which the best to your Federation/Association and look forward to seeing all eligible athletes participate in the Azalea Festival Boxing Tournament. If you have question, please contact Coach Andre Thompson at 910-622-5382 or email: andre.thompson@live.com.
Best Regards Coach Andre Thompson Event Coordinator
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Last Updated: 10/1/2020 10:31:06 AM
