A-Square Fight Club
2026 Michigan Junior Olympics Paper Registration Form
This is the paper-form version of the registration for the two-day tournament, hosted by A-Square Fight Club, on March 21-22nd in Ann Arbor, Michigan.
Please fill out the form completely and sign where requested
NOTE: All Passbooks must be valid for competition and contain a valid physical.
Fighter Information:
Gym/Club Affiliated With | |
Coach Phone Number | |
Sex at birth (Male/Female) | |
First Name | |
Last Name | |
USA Boxing Registration Number | |
Age (On 3-31-2026) | |
Date of Birth (MM/DD/YYYY) | |
Weight ( Competition Weight) | |
Record (Wins-Losses) | |
Boxing Experience (Open, Novice, Sub-Novice) | |
Street Address | |
City, State, Zip |
Registration Fee is $10.00 per entry. Payment can be made at the weigh-in. If mailing the form during the week of the event, please use the online version of this form to ensure it arrives on time. It is available at https://www.asquarefightclub.com/#jos. If mailing, address to:
A-Square Fight Club
℅ Eric McGuire
5150 Marton Rd
Ann Arbor, MI 48108
2025 JO’s
USA BOXING CODE OF CONDUCT
I, as a member of the United States Boxing, Inc. (USA Boxing), understand and must comply with the guidelines set forth by the USA Amateur Boxing Code of Conduct rules. I understand that this Code of Conduct applies to all athletes and non-athlete members of U.S.A Boxing while participating in USA Boxing-sponsored activities. I also understand any and all athlete and non-athlete members are required to abide by this Code of Conduct and all United States Olympic Committee policies, rules, and regulations. By signing this Code of Conduct, I acknowledge that I have previously read it, understand it, and am willing to accept the Conditions as outlined in it. I also acknowledge and accept the consequences and disciplinary procedures that could be enforced if I violate any of the codes.
Participant’s Name_________________________________Date:___________________ Signature________________________________________________________________
FEMALE BOXERS ONLY: I further certify that I am not pregnant, or have any painful pelvic discomfort such as Symptomatic endometriosis or other causes, abnormal vaginal bleeding of undetermined causes (Etiology), recent loss of menstrual period (second amenorrhea), recently developed breast mass, recent breast dysfunction previously not present or surgical breast implants, and have read section 101.9(4) of USA Boxing Official Rules pertaining to my present condition. I have carefully read this Release of Liability. I fully understand its contents. I am aware that this is a release of liability. I sign same of my own free will.
Participant’s Signature: _____________________________________ Date:________
Signature of Parent/Guardian:________________________________ Date: __________ (if under 18 years of age)
Michigan Junior Olympics Paper Form Registration