Personal Information
Last Name
First Name

Birthdate
Grade
USCF ID#
Expiration date
USCF Rating
School/Club
Address
City / State / Zip Code
Home Phone
Email
Emergency Phone
Main Tournament
1/2 Bye request (only one 1/2 point bye is allowed for the entire tournament)
Special Event Camp
Special Event - Blitz Tournament
Special Event - Bughouse Tournament

Comments
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