VFC REGISTRATION FORM Logo
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  • English (US)
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  • 759 BRASELTON HWY, SUITE G

    LAWRENCEVILLE, GA 30043

    INFO@VERCETTIFIGHTCLUB.COM

    VERCETTICC@GMAIL.COM

  • REGISTRATION FORM

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  • EMERGENCY CONTACT:

  • REGISTRANT INFO:

  • IF YOUR PLAYBOOK IS NOT CURRENT IT MUST BE RENEWED OR YOU WILL NOT BE ALLOWED TO COMPETE UNDER ANY CIRCUMSTANCES.

  • By signing below, you are agreeing to the following terms:

    • All information provided within this document is accurate and true.
    • If any provided information is found false and/or inaccurate, it may result in serious injury and/or death.
    • Should any of the provided information be found to be intentionally provided in a false and/or neglectful manner the registrant's membership will be terminated immediately and will not be eligible for renewal.
    • I understand that all fees associated with USA Boxing and Georgia Amateur Boxing Association (GABA) are the responsibility of the registrant and/or that of their parent/legal guardian and NOT the responsibility of Vercetti Fight Club.
    • I understand that should I choose to compete in a sanctioned USA Boxing event, all registration fees are the responsibility of the registrant and NOT that of Vercetti Fight Club.
    • I agree to provide all the required gear (wraps, boxing gloves, etc as necessary for the training and/or competition. I agree to return any equipment lent by Vercetti Fight Club and acknowledge that all equipment will remain their property during use.
    • I understand that any/all equipment used during training or during open gym will be used strictly for its intended purpose(s) and if used for any other purpose could result in serious injury and/or death.
    • I agree to ask an employee for proper instruction prior to using any unfamiliar equipment and understand that utilizing equipment without proper instruction will be at my own risk.
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  • IF REGISTERING A MINOR, PLEASE PROVIDE PARENT/LEGAL GUARDIAN INFO BELOW:

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  • USA BOXING GEORGIA LBC #585883

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  • Internal Use Only:

    Registrants DO NOT COMPLETE
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