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Club Information

Club Name

Club Location (Region & Town)

Physical Address

Club Type*

Year Established

Club Representative Details

Club Representative Name

Position in Club

Phone

Alternative Contact Person

Alternative Contact Number

Membership Details

Active Males

Active Females

Coaches

Do you have a registered club constitution?

Do you have a training facility?

Affiliation and Compliance

Are you currently affiliated with any other sports body?

If yes, please specify

Do you agree to abide by the rules, regulations, and values of EPBAWA?

Additional Information

Brief Background of the Club (e.g., history, achievements, mission, etc.):

Any Additional Comments or Requests:

Declaration

I, (Full Name), representing (Club Name), hereby confirm that the information provided in this registration form is true and accurate to the best of my knowledge. I acknowledge that I have read and understood the terms and conditions of the Eswatini Professional Boxing and Arm Wrestling Association (EPBAWA) and agree to abide by its rules, regulations, and values.