Player Name*
Choose your Section*
Address*
Street Address City State ZIP Code
Email*
Phone*
Is the Player a USCF Member?*
Adult players must acquire USCF membership before the event. Free USCF Memberships provided for scholastic players!
- Yes
- No
Date of Birth (for USCF)*
MM slash DD slash YYYY
USCF ID#
Entry Fee
Price:
Credit Card

Card Details

Cardholder Name
Comments
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