"You Can't Open a Kinfe Or Fire a Gun
with a Boxing Glove On!"

REV. RAY MARTIN,President
BARBARA JEAN MARTIN, Vice President
JOSEPH B. CARPER, JR., Chairman
RUDOLPH SULLIVAN, Secretary
CLIFTON COBB, Treasurer

P.O. BOX 88012
3212 DOWLLING STREET
HOUSTON, TEXAS 77004
PHONE: 713.520.9585 FAX: 713.520.1420

THE MINOR ____________________________________________ HAS MY / OUR PERMISSION TO PARTICIPATE IN THE PROGRESSIVE AMATEUR BOXING ASSOCIATION BOXING PROGRAMS. I HEAREBY GIVE PERMISSION FOR HE/SHE TO PARTICIPATE IN FIELD TRIPS, IN AND OR OUT OF THE CITY. I/WE TAKE FULL RESPONSIBILITY FOR ANY INJURY HE/SHE RECEIVES WHILE PARTICIPATING IN THE P.A.B.A PROGRAM/S.

TYPE OF PARTICIPATION DESIRED

GENERAL RECREATION
BOXING
AFTER SCHOOL PROGRAM
EDUCATIONAL PROGRAM

ADDRESS: _____________________________________

HOME PHONE:__________________________________

CELL PHONE: _________________________________

WORK PHONE: _______________________________

SIGNATURE_____________________________________

You May Not Get Everything You Fight For; But You Must Certainly Fight For Everything You Get!"