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Last Name First Name Middle Initial

Street

City State Zip Code

Date of Birth / /

Telephone (with area code)

Email address (registered with PayPal)

USCF ID# Enter "new" if you don't know or are buying a membership before the tournament.

USCF expiration date

USCF rating (if known)

Handicapped? (click box if "yes")

Are you a Master (2200+)? (click box if "yes")

Use this drop down box to buy USCF memberships (you must be a current paid USCF member to play).

section Choose your playing section - players with ratings above 1200 must play in the open, players with ratings below 1201 may play in either the open or scholastic section.

Open

Scholastic

Use this drop down box to request one 1/2 point bye in any round.