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 ______
State __________ Zip Code __________ Phone number _( )___________________ Email ______________________________
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 or phone ________________________________________________
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 ________________________