Registration Page

Saturday, March 17, 2012

Registration Form

Please enter your
E-mail Address:

First Name:

Last Name:

What grade are you in?

Select your school from the list:

Other (not listed above)

Please enter your street address:

Address:
City:	State: Zip Code:

You do not have to be rated, but if you are, enter your USCF rating here:

Please enter the best telephone to contact you:

This is a: Cell Phone
Home Phone
Work Phone

Refreshments will be served. Prizes include scholarships, trophies, t-shirts and more.