Hometown Heroes Boxing - Natl. HHB Champ. Entry Form - South Charleston, WV
Hometown Heroes Boxing - Providing Opportunities for Our  Youth

2018 National Hometown Heroes Boxing Championships
Name
Street Address
City/State/Zip
Boxing Club (show UNATTACHED if your club is not currently a member of USA Boxing)
Email Address
Home Phone (H) Cell Phone (C)
Gender
USA Boxing Registration Number
Age on Feb. 16, 2018
Date of Birth
Weight Class (see USA Boxing Competition Rules)
Age Classification
No. of Boxing Matches
Number of MMA, Kickboxing, etc. Matches
Name of Coach & Coach's Phone Number
PLEASE SUBMIT THE $30 ENTRY FEE TODAY...IF WE HAVE NOT RECEIVED YOUR ENTRY FEE BY FEBRUARY 2, 2018, YOUR NAME WILL BE REMOVED FROM THE LIST OF ENTRIES AND NOT INCLUDED IN THE DRAW.   MAKE YOUR CHECK OR MONEY ORDER PAYABLE TO:  HOMETOWN HEROES BOXING AND MAIL TO HOMETOWN HEROES BOXING, 809 WISTERIA DRIVE, SOUTH CHARLESTON, WV 25309.