ASSOCIATION
OF BOXING COMMISSIONS (ABC)
ASSOCIATION
OF BOXING COMMISSIONS (ABC)
Boxer’s Federal Identification Card Application
FEDERAL ID #
____________________________EXPIRATION
DATE _________________________
FULL NAME _________________
____________ ___________ __________________ ______
First
Middle
Last
DATE OF BIRTH______ /_____
/________ SOCIAL
SECURITY_____ -_____
- ___
Month Day
Year
PLACE OF BIRTH ____________________________
_______________________
_____________
Country
City
State
ADDRESS ________________________________
____ _________
_________ ___________
_________
Street
City
Country
____________ _________
(____)________________
__
______________________
HEIGHT:
_________ WEIGHT: _______ _ STANCE
(check only 1): RIGHT_____
LEFT_ ____
HAIR COLOR: ________ EYE
COLOR: _______
DISTINGUISHING CHARACTERISTICS :( tattoos, scars, etc) ______________
_____ _________
__
_____________________________________
MANAGER: ________________________________
_______________________________________________
Name
E-mail or phone
PROMOTER:_______________________________
________________________________________________
Name
E-mail or phone
TRAINER:
____________ _______________
____________ __________________________
Name
E-mail
AMATEUR EXPERIENCE: Yes ___ No
____ Record _______________
TERMS AND CONDITIONS
1.
Boxers must apply
for Boxer Federal ID card in the state in which he/she is a resident.
2.
Boxer Federal ID
card will not be issued unless an accurate and truthful completed application
for ABC Boxer Federal ID Card, two
passport photos and two forms of ID.
3.
Boxer understands
that he/she will not be allowed to fight without a Boxer Federal ID Card.
4.
Any false or
misleading statements on this application may result in the Boxer being placed
on the National Suspension list.
5.
The ABC reserves
the right to amend these terms and conditions.
7.
Boxer understands
that the ABC with the cooperation with the Boxing Commission that issued the
Federal ID Card will settle any disputes or violations of terms and conditions
for these cards.
8.
Boxer agrees to
abide by these terms and conditions and any other rules set forth by the ABC and
the Boxing Commission that issued the identification card.
I solemnly swear (or affirm) that the statements made
on this application are true and the photograph attached is a true likeness of
me. By signing this application I
agree to be bound by the rules and regulations of the ABC. If I make a false or misleading statement in this application
the ABC at any time thereafter may place me on suspension for one year.
I acknowledge that I have read, understand, and agree to the terms and
conditions of the ABC Boxer Federal Identification Card.
____________________________________
_____ _
______
_______________________________
Applicant’s Signature
Date
Commission
Representative
Date