Club Documentation 08/2013   

Club Show Documentation 

Club Show Package • Official Remuneration Chart • Official Assignment Sheet • Official Feedback Form • Result Form for Coaches • Coaches Card/Registered Checklist • Become an Official Signup Sheet 

 Club Show Information Package 

• Ring Card Carrier Policy • Timekeeper Duties • Show checklist • Match guidelines ‐  age, weight, 

experience • Mandatory requirements  gloves, 

headgear • Class Determination by Birth Year • AIBA Rules  Main Changes 2013 

Other • Sanction form • Line –up from  host club (48 hours prior to 

event) 

 

Sanction Package  The following documents to be submitted to Boxing Ontario, upon completion of club show.   

• Club Show Documentation • Weigh‐in sheet and program • Result sheet • Score cards  (Pads sent separately) • TKO Concussion Injury Caution Sheet • Sport Injury Report Form (carbon copies) • Pre‐bout medicals (male and female) • Referee Pre‐bout Medical  questionnaire  • Supervisor Bout Report  • Announcer Form • Post Event Report 

 

 

 

WEIGHT ALLOWANCES (KG) 3 4 6 3 4 6 3 4 5 4.5 CLASS / WEIGHT Y/S M 52---69---91 Y/S F 60---69---81 JA /JB / JC M/F 54 ---- 66 ---- 80 Masters - all weights

08/13

Weigh-in Sheet & Program Date Location: -

Red Corner Blue Corner Bout #

Name & Club Wt. (KG)

D.O.B.

Jr, Y, S Upgr

# of Bouts

Name & Club Wt. (KG)

D.O.B. Jr,Y, S Upgr

# of bouts

1 3x

2 3x

3 3x

4 3x

5 3x

6 3x

7 3x

8 3x

9 3x

10 3x

11 3x

12 3x

13 3x

14

3x

*If Boxer has been upgraded, please note on weigh-in and program form*

BOXING ONTARIO RESULT SHEET

Date: ________________________ Location: __________________________________Region:_____________________________

Name of Club: ______________________________ Club Executive: __________________________________________________

Bout#

Weight Class

Red Name/Club

Blue Name/Club

Winners (Red/ Blue)

Decision Details

Referee Name

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Officials 1. 2. 3. 4. 5.

Supervisor________________________ Doctor at Ringside_________________________ License No _____________ Signature________________________________________

Injury Report Name Sport Injury Report Form Completed Rest / Suspension Recommendation

~THIS SHEET MUST BE SUBMITTED TO THE BOXING ONTARIO OFFICE WITHIN 5 BUSINESS DAYS FOLLOWING THIS COMPETITION ~ (07/2013)

TK0 Concussion Injury Caution Sheet 08/2013 

 

TKO (Concussion Injury) Caution Sheet To be given to Coach for review with boxer

Venue __________________________ Date of TKO / KO ____________________

Boxer Name _____________________ Time of TKO / KO ___________________

Coach Name ____________________ Suspension / Rest Period _____________

1. The boxer is not to walk home alone unescorted: the boxer is not to drive an automobile, bike, motorbike or any other vehicle away from the venue by themselves. A coach or consort must escort by foot, or drive the vehicle taking the boxer away from the venue.

2. The boxer is not to ingest sleeping pills, aspirins, sedatives, tranquilizers, antihistamines, or any other sedating medications for a minimum period of 48 hours. The boxer may take Tylenol plain tablets (without codeine), if needed, for treatment of headache, or other musculoskeletal aches.

3. The boxer must be seen with the next 24 hours, optimally by a physician, the boxer must definitely be seen, at least once by a friend or relative within the next 24 hours to assess their general state of alertness, presence of headaches and other signs noted below: • Persistent drowsiness • Persistent headaches • Blurred or double vision • Vomitus • Tremors, fits, convulsions • Weakness of arm or leg • Imbalance • Combination of any of the above signs

If any of the above signs is observed the boxer must be taken immediately to the nearest emergency hospital room for neurological assessment

Signed: Dr. ________________________________ License No: _____________ (Ring Physician)

 

Updated July 2013

1   

 POST EVENT REPORT 

 GENERAL 

   M  D      Y 1. Date of the event: ____/____/____    2. Sanctioning club:_____________________  3. Location of event: _________________    4. Matchmaker:_________________________  5. Supervisor :_______________________    6. Doctor’s name: _______________________  7. Announcer:_______________________      8. Time Keeper:_________________________  9. Referees/Judges:  1.     ______________________     Level _______   4.  _______________________       Level _______ 2.    _______________________   Level _______         5.  _______________________       Level _______ 3.    _______________________   Level _______  10. Referee/Judges‐in‐training:   1.    _______________________         2.    _______________________    3.    _______________________  11.  Officials conducting weigh in        1.  _______________________      3.  ________________________      

      2.  _______________________     4.  ________________________             

BOXERS  Did all Boxers: 1. Possess a valid passbook with current registration 2. Weigh –in and have weight recorded 3. Complete Pre‐ bout Medical 4. Arrive within specified time for weigh‐ins and 

medicals 

Yes _____         If  No _____   (Please provide details) ________________________________________________________________________ ____________________________________  

 DOCTOR / MEDICALS 

Did the Doctor: 1. Record pre‐bout medical info into passbooks of 

boxers and referees 2. Sign Medical forms 3. Sign Results Sheet 4. Conduct post‐ bout examinations 5. Remain at Ringside during all bouts 

Yes _____        If  No _____   (Please provide details) ________________________________________________________________________ ________________________________________________________________________  

 OFFICIALS 

Did the Officials: 1. Possess a valid passbook & registration number 2. Complete a medical if a referee 3. Verify coaches cards and / or registration number 4. Record weights and initial in boxers passbooks 5. Insure boxers equipment – headgear, gloves and 

attire meets Boxing Ontario Standards for the bout 

Yes _____        If  No _____   (Please provide details) ________________________________________________________________________ ____________________________________ ____________________________________ 

 

3 Concorde Gate, Suite 202 Toronto, Ontario M3C 3N7 t. 416-426-7250 · f.416-426-7367 · e.info@boxingontario.com www.boxingontario.com

Updated July 2013

2VENUE CONDITIONS 

1. Were there adequate dressing rooms  2. Were there adequate  warm up areas 3. Was the music at acceptable  levels and content 4. Was the lighting at an acceptable level to meet 

safety standards 5. Were weigh in and medical rooms private and out of 

view of public and opposite gender 

Yes _____        If  No _____   (Please provide details) ______________________________________________________________________ ___________________________________  

 TECHNICAL 

 Condition of the Ring  ‐        Good    /   Fair /    Poor Condition of the Gloves ‐                   Good  /    Fair  /   Poor Type of scales used             Digital   /    Bathroom  /    Other  

Comments ________________________________________________________________________ ____________________________________  

 Number of Clubs Competing           ___________ Number of Boxers Weighed in        ___________ Number of Boxers Matched            ___________  

Comments ________________________________________________________________________ ____________________________________  

 Number of Bouts  ______          Exhibitions   ______  Decisions:    WP  ___   TKO___  TKOI ___ KO ___  DQ ___  

Comments ________________________________________________________________________ ____________________________________ 

 Number and type of Injuries   

Comments ________________________________________________________________________  

 Number of Spectators   __________  Was Media in Attendance ?   Yes  /     No                        Whom?    _______________________________  Was Alcohol Served ?        Yes  /  No                                 Company?_______________________________             Issues to be Resolved before Next Club Show. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________  I hereby agree that I have read and fully understand the contents of this report as discussed the Supervisor.  ______________________          __________________________    ___________________  Club Representative            Signature        Date   Report Completed By:  ______________________         __________________________  ___________________ (Print Name)             Signature        Date