Boxer Licence Form | PBA BOXING

The Professional Boxing Association (PBA) regulates Boxer Safety to the high standards required in ensuring Boxers are fit to box when participating on PBA Sanctioned boxing events. PBA Rules of Boxing* shall be followed during PBA Sanctioned boxing events. However, all licence applicants by applying to be licensed by the PBA acknowledge the inherent risks of boxing in that it can result in serious injury and

sometimes fatalities.

PBA Annual Licence Type:

White Collar Boxer Licence£35

Amateur Boxer Licence£50

Semi Professional Boxer Licence£100

Professional Boxer Licence£150

ICB Memberships start January 1st, ends 31st December

Full Name:

Date of Birth

Day

Month

Year

Address:

Phone:

Email

Orthodox or Southpaw:

Orthodox

Southpaw

Current Weight:

Boxing Weight:

Boxing Record:

Include all boxing experience: White-collar, Amateur, Semi-Pro & Pro

Date of previous boxing bout:

Result of previous boxing bout:

Held a boxing licence previously?

Yes

No

If Yes, name of sanctioning body:

Are you currently signed to a boxer/manager contract?

Yes

No

If Yes, name of manager and date of expiry:

I agree to adhere to the PBA's rules and regulations relating to the boxer licence I seek to obtain.

Once the licensing application is submitted and payment is received, the PBA will provide the required medical forms for completion via email.

PBA BOXER LICENCE APPLICATION