Registration Form
The Bloomington Indiana Scholastic Chess Club (BISCC) is a 501 (c) (3) non-profit organization for young chess enthusiasts who are interested in competitive chess and skill building. In addition to chess skills, we also emphasize good citizenship, sportsmanship and leadership. BISCC is a USCF Affiliate.
Parent's/Guardian name(s)
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Student 1 (Name, Grade, Relationship)
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Student 2 (Name, Grade, Relationship)
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Student 3 (Name, Grade, Relationship)
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Home Phone
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Cell #1
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Cell #2 (If applicable)
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Email #1
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Email #2 (If applicable)
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EMERGENCY CONTACT NUMBERS (during chess club meeting)
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MEDICAL, BEHAVIORAL OR OTHER IMPORTANT INFO:
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Skill level (please check):
USCF member?
If yes, please provide USCF ID#
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Which session(s) will your child attend?
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