2003 Regionals Registration Form
Fill out and mail to:
Sharon Pernes
3401 Cromart Ave
Fort Worth, TX 76133
Name |
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Address |
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City, State, Zip |
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School |
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Grade |
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Section: |
p Primary (K-3) |
p Elementary u800 (K-5/6) p Elementary Open (K-5/6) |
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p Middle School (6-8/9) p High School (9-12) |
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USCF ID Number |
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Expiration Date |
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Rating (February Supplement) |
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Do you need a bye? What round? |
Amount Enclosed: ________________________
Check #: _______________________________