USCF Membership form

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Please complete this form and submit it. Allow up to 48 hours for the membership to be issued.

Please include your payment in the team envelope at the tournament and turn it into the check in table.

Bloomington Normal Area Scholastic Chess

School *

First Name *

Last Name *

Gender *

Date of Birth *

YYYY

Grade *

Section *

Email Address *

Select your membership: *

$19.00 USCF / ICA (12 and over)

$14.00 USCF / ICA (under 12)

$0.00 JTP (Gr. K-3 and Playing Lower Primary or Upper Primary Section)

Select one: *

We need to renew an existing USCF ID Number

We have never had a USCF ID and need to create a new one.

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