HULL BOX CUP
2015
Boxers Entry Form
BOXERS NAME
CLUB
GENDER Male / Female
DATE OF BIRTH
NUMBER OF BOUTS (including all other contact sports) Total Bouts:
Wins:
Losses:
ACHIEVEMENTS/INTERNATIONAL EXPERIENCE/TITLES WON (please list below)
WEIGHT CATEGORY
KG
NAME OF TEAM LEADER/HEAD COACH
MOBILE PHONE NUMBER OF TEAM LEADER/HEAD COACH
EMAIL ADDRESS OF TEAM LEADER/HEAD COACH
Please return form with 1 passport sized photo of each boxer and each coach plus £20 entry fee per boxers
and £5 admin fee per coach to:Stevie Smith Boxing Academy, 2-6 Madeley Street, Hull, HU3 2AH
Alternatively you can email to [email protected]
Cheques can be made payable to “Stevie Smith Boxing Academy”
No Entries will be accepted without Fee’s