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Boxing Registration Form

Boxing Registration Form

I acknowledge that by signing this document I freely agree to and make the following contractual representations, covenants and agreements to and for the benefit of United States Amateur Boxing (USA Boxing), any sanctioning local boxing committee of USA Boxing and all promoters, sponsors and venue owners with respect to the aforementioned Buffalo Golden Gloves Tournament events (“Events”), their respective agents, officers, employees, members and affiliates, Buffalo Golden Gloves Academy, Inc., and Donald Patterson, d/b/a “Buffalo Golden Gloves” (collectively, “Releasees”). I acknowledge that boxing is an inherently dangerous sport and fully realize the dangers of participating in boxing competition and preparation for the competition. I assume all risks associated with such participation, the risks of my own negligence and/or the negligence of others, including but not limited to the releasees, and the possibility of serious physical and/or mental trauma injury, permanent paralysis or death associated with boxing competition. I certify that within three months preceding the dates of this entry form and the Events I have had no injuries to my hands and have had no injuries to the head, including concussion, headaches, or fainting spells. Should I experience any of these injuries and conditions in the future I will immediately notify the officials of the Events and cease all participation in the Events. I hereby waive, release, discharge, hold harmless, and promise to indemnify and covenant not to sue the Releasees from any and all rights and claims, including claims arising from the releasees’ own negligence, which I have or which may hereafter accrue to me, my heirs, executors, administrators, legal representatives, assignees and successors in interest (collectively, “Successors”) from any and all damages which may be sustained by me directly or indirectly in connection with, or arising out of, my participation in the Events, or travel to or return from the Events. I understand that drug testing may be conducted for athletes registered for the Events and that the use of substances prohibited by Releasees rules would make me subject to sanctions including, but no limited to, disqualification and suspension. I agree to be subject to drug testing if selected and its sanctions if I fail to comply with the testing or am found positive for the use of a banned substance. I understand and agree to medical or other services rendered to me at the insistence of any of the Releasees. Should I or my Successors assert any claim in contravention of this agreement, the asserting party shall be liable for the expenses (including legal fees) incurred by the Releasees in defending such claim. Every term and provision of this agreement is intended to be severable. If any one or more of them is found to be unenforceable or invalid, that shall not affect the other terms and provisions, which shall remain binding and enforceable. By entering into this agreement, I am not relying on any oral or written representation or statements made by the Releasees, other than what is set forth in this Agreement.
I give my permission to use my name, likeness, image, voice, and/or appearance as such may be embodied in any pictures, photos, video recordings, audiotapes, digital images, and the like, taken or made on behalf of the Releasees and the Events. I agree that the Releasees have complete ownership of such pictures, etc., including the entire copyright, and may use them for any purpose consistent with the Releasees’ mission. I acknowledge that I will not receive any compensation, etc. for the use of such pictures, etc., and hereby release the Releasees from all claims which arise out of or are in any way connected with such use.
CONSENT AND RELEASE OF PARENT OR GUARDIAN REQUIRED IF ENTRANT IS UNDER LEGAL AGE (18 YEARS OF AGE): I am the parent or guardian of the above athlete registrant (child). My child is mentally and physically fit for the Events, and I consent to my Child’s participation. I have read, understand, and agree to the above entry form and release agreements.

For Boxer or Parent. Adding your name will be considered your signature.

No entries will be accepted unless the entrant is a member of USA Boxing. The athlete’s registration number and club affiliation must appear on the entry blank.