REGISTRATION FORM

FOR
The NLA Boxing – KING OF THE JUNGLE 4 – National Championships

The Days of War

    Name:

    Phone Number:

    Email Address:

    Street Address:

    City:

    State:

    Zip:


    Check One Division Only:
    Novice - (9 bouts or less)Open - (10 bouts or more)

    Number of bouts:


    USA Boxing Registration Number:


    Name of Your Boxing Club:


    Coaches Name:


    Age that you will be on July 28, 2022:


    Birth Date:


    USA Boxing Weight Class that You will be Competing In:


    Division that you are entering in - Tournament Division or Matched Bout Division - Check One Below

    TOURNAMENT DIVISION - Compete for a KING OF THE JUNGLE Belt, and the title of NATIONAL CHAMPION over the three days of competition. Initial check in will be Thursday, July 28, from 4pm to 8pm. Please Note: If you lose early in the Tournament Division, you will have the option to compete in additional Matched Bouts, for the remainder of the Tournament

    MATCHED BOUT DIVISION - Compete for Trophies and Medals, in a standard Matched Bout format, on one or more days of the competition. This Division is perfect for Boxers and Coaches who want to compete in the KING OF THE JUNGLE, but who may be unable to commit to all three days of competition, or who may have less experienced boxers, and want to match then very closely. Boxers in the Matched Bout Division will check in/weigh in, only on the days that they will be boxing.

    Check here to:

    QUESTIONS?

    Call (630) 880 8799

    QUESTIONS?

    Call John O’Brien, Tournament Director, at (630) 880 8799

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