2018 KSCA State - USCF Membership K-12 Registration (expired/non-member)
This form is to be used to receive USCF K-12 Membership. Players must be in K-12 section with either an expired membership or never have been a member of the US Chess Federation.
First Name - Middle Name/Initial *
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Last Name *
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Suffix
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Birthdate *
MM
/
DD
/
YYYY
Sex (Gender) *
Address Line 1 (Apartment #)
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Address Line 2 (Street Address) *
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City *
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State *
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Zip Code *
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Email
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Phone Number
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