CSGA Chess Tournament Program Registration
Tournament Location:
Plymouth Middle School
10011 36th Ave N, Plymouth, MN 55441

January 18, 2020 TRANSPORTATION/SUPERVISION: $38; SCA TOURNAMENT FEE: $22 COMPLETE PACKAGE: $60
Student Name *
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Student Current Grade *
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Student Date of Birth *
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Gender *
Medical Needs/ Accommodations/Special Needs *
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Student's School District/Attendance Area *
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Parent/Guardian Name *
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Parent/Guardian Phone Number (List as many as necessary.) *
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Parent/Guardian Email (List as many as necessary.)
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Additional Emergency Contact: Include Name, Phone & Relationship to Student *
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Photo permission *
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Emails and newsletters from CSGA *
Registration Options *
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Drop Off & Pick Up Location: Centennial United Methodist Church Parking Lot – 1524 County Rd C2 W, Roseville, MN 55113
Drop Off-Pick Up Times: 7:30am to 4:00pm (end times will vary depending on the length of each event)
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