Full Name

 Today's Date

 (*Required) email address
WBAN will NOT register the boxer without a good email address.

address

 City

 State

Phone ex: 5305687999 (no Hyphens or symbols)

Gym

Weight Class

Height

Weight

Age

*Years in Boxing

*If you have NEVER boxed and are filling out this form, this is not the proper form to fill out for WBAN. This form is for women ALREADY in the sport.  We will not respond to women who state they have never boxed from this form.

Manager

Trainer

What are you doing in boxing?
Professional   Amateur Work out to stay in shape/does not compete  Training and is planning to compete.

Amount of fights you have had?
one Pro fight 2-4 Pro fights 5-8 Pro Fights Over 8 Pro Fights Fought Amateur only No Fights

Have you won any Championships as a Pro, and if yes, where and when?


If you fought as only an amateur fighter, how many fights did you participate in, and did you win any championship titles?

Do you have a press kit with photos, bio, information that you can forward to WBAN so that it can be indexed?
Yes  No I can put a press kit together and send it.   SEND PRESS KIT TO:  Sue Fox, PO Box 55185, Portland OR 97238

Are you a NEW member, or updating your file? 
 New  Updating

OPTIONAL:   NEW UPDATE- IF YOU ARE A PRO BOXER, YOU CAN GET ON THE EXCLUSIVE MATCHUP THAT IS ON THE WBAN RECORDS SITE BY FILLING OUT THE FOLLOWING:

Your name, and info will be taken from the above form, but please add additional information
Your manager's name or contact person


Your manager's or contact person's phone number and email address

Do you want to be listed as a quick call opponent? (A boxer who stays in shape, and will take a fight on short notice)

No Yes

Comments, example the weights you will fight, etc.

SECURITY CODE: Below type 4444 in the box -(This is to help prevent spammers)

  <type the number: 4444

THANK YOU VERY MUCH FOR SIGNING UP ON THE REGISTRY.

SUE TL FOX