egion 2 Scholastic Championship

Registration Form

Complete and mail to:

Chess Nuts; 337 Drexel Drive; Grapevine, TX  76051

Note - must be postmarked by 2/1/02 for the pre-registration price. if you are missing information you will be charged the late registration fee, please be sure all information if filled out and correct. Check the USCF web site for rating and membership information.

Name:_______________________________________________________

Address: _____________________________________________________

Home Phone: _______________________ E-mail: ____________________

School: ____________________________  Grade: ___________________

Section: [] Primary JV    [] Primary Open    [] Elementary JV    [] Elementary Open

Section: [] Middle School    [] High School

Are you a USCF member?

[] yes  USCF number __________________ expiration date ______________

[] no, memberships are available ($13 for scholastic <14, $20 for youth 15-19)

Amount enclosed $_______________   Check # __________  Cash _________

Online Registration

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