Parent Name *

First Name

Last Name

Phone *

(###)

###

####

Does the chess player have a USCF Membership

Yes

No

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What events will you participate in?

In Person Info/Meet & Greet Session

Online Info/Meet & Greet Session

In Person Chess Workshops

Online Chess Workshops

In Person Practice Tournaments

Online Practice Tournaments