club show documentation -...
TRANSCRIPT
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 · [email protected] 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