Travel Permit Form

Form Being Requested*
What is your Officials Level?*
Please select the current level held as a Boxing Ontario Official. If you are currently registered in another province or country, please list your credential and reference contact.
Other
Where will you be travelling?*
- United States
- Internationally (Outside of Canada & US)
- Domestically (Outside of Ontario)
Select One Option
Start Date of the Event
Date Format: MM slash DD slash YYYY
End Date of the Event
Date Format: MM slash DD slash YYYY
Event Details
Name of Event Main Event Contact (Name) Main Event Contact (Email)
Location of Event
Street Address Address Line 2 City State / Province / Region Country
Event Website
Club Details
Club Requesting Travel Permit
Main Contact
First Last
Main Contact Email
Main Contact Phone Number
Individuals Travelling (Add additional rows as needed)*
Role Name Weight Club CABA Registration Number

Roles Available: Coach, Manager, Athlete
Confirmation
I confirm that the above information is correct

Role	Name	Weight	Club	CABA Registration Number

Event Details