2012 Team Entry Form

Please fill in the form below to register for any of the School Championships. If you enter an expiration date for USCF or MCA, it must be in the form of MM/YY. USCF ID#'s must be 8 digits long. If you have any questions, please contact Jennifer Skidmore.

An average team rating calculator can be found here.

Tournament:

School Name:		Coach Name:
Street Address 1:		Coach Phone:
Street Address 2:		Coach E-Mail:
City:
State:
Zip Code:
Team Name:		Adult Chaperone:

	Name (Last, First)	USCF ID #	USCF Exp.	USCF Fee	USCF Rating	MCA Exp.	MCA Fee	Grade	Birthday	Street Address	City	Zip Code
Board 1:
Board 2:
Board 3:
Board 4:
Alternate:

Team Entry Fee:	$50
USCF Fees:	$0
MCA Fees:	$0
Total:	$50