WATAUGA CHESS TOURNAMENT
REGISTRATION FORM
(Please
Print)
Name of
Tournament_____________________________ Date of Tournament___________
Last
Name_____________________________ First_________________________ MI_____
Address_________________________________________________________
City, State,
Zip______________________________________________________________
Date of
Birth_________________ Telephone ( ____ ) _____________________
(Date of birth required for Jr & Sr entries, USCF renewal, and for persons
joining or rejoining the USCF.)
E-mail
Address__________________________________________________
Are
you a USCF member? ___Yes ___No If no, have you ever been a USCF member?
___Yes ___No
USCF ID
#____________________ Expires________________USCF Rating__________
(Previous members who rejoin the USCF retain their old USCF ID #.) (Note: Once
rated, always rated.)
Entry
Fees: See
webpage or flier for tournament fee information.
Entry Fee
. $__________ (Add $5 for on-site registration - )
Adult USCF
Mem. ($49/yr)*.......... __________ (or $32 for 6-month trial - 1st time mem.
only)
Youth USCF
Mem. ($25/yr).......... __________ (19 & under - receives monthly
Chess Life)
Scholastic
USCF Mem. ($19/yr)** __________ (14 & under - receives six publications / yr)
Senior USCF
Mem. ($36/yr)......... __________ (65 & over)
Total Amount
Enclosed...............$__________ Make checks payable to Watauga Chess Club
*
Economy Regular $39/yr (receives NO publications)
** Economy Scholastic $13/yr (receives NO publications)
Make check
payable to
Watuaga Chess Club.
Mail this
pre-registration form with payment to:
Watauga Chess Club
c/o Aurelio Gonzalez
6432 Ridglea Dr.
Watauga, TX 76148
Mail so as
to arrive 3 days before date of tournament.
Early registration helps us tremendously.
If you are
registering on site, complete this form, bring it with you, and make payment on
site.
*Note -
onsite registrations costs $5 dollars more than prepaid.
For more
info: Visit the Watauga Chess Club Website at
www.wataugachess.thinkhost.com
or call Tom Crane at
(817) 427-2208.
Anything else
we need to know? If so, use the space below:
__________________________________________________________________________
__________________________________________________________________________