USVICA Membership Application Form
United States Virgin Islands Chess Association membership application form. Once filled out, you may pay the first year dues of $5 to Gail Widmer in St. Croix or Sinclair Wilkinson in St. Thomas.
Sign in to Google to save your progress. Learn more
Name *
Email (double check that this is correct) *
Phone Number *
Mailing Address *
Physical Address *
Were you or your parents born in the USVI? *
Number of years residing in the USVI *
Are you a permanent resident of the USVI? *
Are you a member of a chess club? *
If yes, what's the name and location of the chess club?
Have you ever played in a chess tournament?
Clear selection
How would you rate yourself as a chess player?
Clear selection
If you have a rating, please enter that rating.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report