2018 SDCA Membership Form
Type of membership *
New or Renewed from last year?
USCF ID#
Your answer
First Name *
Your answer
Last Name *
Your answer
Address Line 1
Your answer
Address Line 2
Your answer
City *
Your answer
State
Your answer
Zip Code
Your answer
Birth date (mm/dd/yyyy)
Required for age dependent memberships.
Your answer
Gender
e-mail
For SDCA purposes only (we do not share with third parties)
Your answer
Home Phone
Your answer
Mobile Phone
Your answer
Additional family members. (Please include Name, USCF ID#, Bithday, Gender, or additional emails)
for family memberships only
Your answer
Payment Source *
Required
This years over the board team tournament
chess.com username
Please join the South Dakota group at chess.com for free
Your answer
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