Please fill out all sections of this form and mail to:
Gary
Noel Sargent,
2764 Panorama Dr
Rockford, IL 61109
Please make all checks payable to “Rockford Chess
Association"
Last name |
First name |
MI |
Grade |
|
USCF ID |
USCF Rating |
Exp Date |
||
Street Address |
City, State |
ZIP |
||
School |
City, State |
ZIP |
||
Section (check one): |
o Primary (K-2) o Elementary (K-5) o Championship
(K-8) |
|||
If you need a current USCF membership, please bring money
to take care of it at the tournament. All
players must be current USCF members!
Be sure to…..
…….fill
out all fields in the entry form.
…….enclose a check for $20 to "Rockford Chess Association"
…….have the entry postmarked by December 21, 2002