Sanction Request Form

All fields are required:
Applicant Name:
Applicant Email:
Applicant Phone Number:
Applicant Address:
Applicant City:
Applicant Zip:
Name of Event:
Name of Site:
Address of Event:
Event City:
Event Zip:
Sponsoring Gym:
Gym Address:
Gym City:
Gym Zip:
Boxing Day and Date:
Boxing Time:
Type of Bouts (Junior, Senior, Mixed): IF THERE ARE ANY JUNIOR BOUTS (UNDER 17) NO ALCOHOL MAY BE SOLD OR SERVED!
Number of Bouts:
Weigh-in Time:
Name of Contact Person:
Email of Contact Person:
Is this a new request or a date change from a previous request?	Date Change New Request
New date if "Date Change" is chosen:
Comments:

** I agree to the terms and conditions of holding a sanction issued by USA Boxing, Metro. **