Tournament Enrollment

Child's Name:*
Gender
- Boy
- Girl
Section:
- Advanced
- Intermediate
- Beginner
USCF Member?
- Yes
- No
- Join Now (White Kings – Top Section must be USCF members)
If the child is not a current USCF member and he is enrolled in the Advanced Section, there will be an additional $20 charge to join the US Chess Federation. Players not in the advanced section do not need to join the USCF.
USCF ID#:
USCF Rating:
Birthday (xx/xx/xxxx):
Month
Day
Year
Parent's Name:
First Last
Home Phone:
Your Email:*
Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Fee Schedule:

$25.00 for early registration
Tournament times are 12:30-3:30pm
$30.00 on-site registration from 11:00am - 12:00pm
Purchase a T-Shirt
(T-Shirts will be waiting for you at the tournament)
T-Shirt Quantity
Size of First T-Shirt (additional $18):
Size of Second T-Shirt (additional $18):
Size of Third T-Shirt (additional $18):
Size of Fourth T-Shirt (additional $18):
Size of Fifth T-Shirt (additional $18):
Pricing Details:
Tournament Fees:
Price:
T-Shirt (Per Unit):
Price:
Not a USCF Member:
Price: $20.00
Payment Details:
Total:
$0.00
Payment Details*

Discover
MasterCard
Visa
Supported Credit Cards: Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Note:
I approve this application and certify the applicant(s) capable of such an experience. I grant permission for the applicant to participate in all camp activities understanding that competent leadership will be provided. In case of accident the camp is authorized to secure emergency medical treatment. The camp is not responsible for lost, stolen or damaged personal articles. I authorize the camp to have and use photographs, slides and video tapes of the person(s) names on this application.

Tournament Enrollment

Fee Schedule:

Purchase a T-Shirt

Pricing Details:

Payment Details:

Note: