2016 Ontario Golden Gloves & Primetime Invitational Tournament
Registration form
First Name *
Your answer
Last Name *
Your answer
Phone Number
Your answer
Date of birth *
Month/day/year
MM
/
DD
/
YYYY
Age *
Your answer
Sex
Home Adress
Your answer
City
Your answer
Postal/Zip
Your answer
Email
Your answer
Club Name
Your answer
Coach Name
Your answer
Weight
Your answer
Total Number of bouts (incl. exhibitions)
Your answer
Number of years in the gym
Your answer
WBC Canada or International Registration Number
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone # *
Your answer
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