Chess Tournament

Chess Tournament Registration
Are you registering more than 1 child? *
Child Name *

First Name Last Name
Child2 Name

First Name Last Name
Child3 Name

First Name Last Name
Grade *
Child 2 Grade
Child 3 Grade
Parent Name *

First Name Last Name
Email *
example@example.com
Mobile Number *

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Is Your Child a USCF Member? *

Yes No
USCF Membership Number
USCF Rating
Special Note

Select your Date Options and make payment here. *

Chess Tournament

Chess Tournament Dates	Price	Quantity
Saturday, September 28, 10:00-12:00	$ 30.00
Saturday, October 26, 10:00-12:00	$ 30.00

Total $ 0.00

Credit Card Information (Visa, MasterCard, Discover, and Amex)
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty: