2016 Douglas County Scholastic Chess Championship
Parents, please fill out the form below to register for this event which will be held on Saturday, December 10th from 10-4 at Turner Middle School. By filling this out, you acknowledge that you will pick up your student by 4:00pm, but your are welcome to stay for this event. The Entry fee is $10 which will be paid the day of the event (unless your school has already paid for your entry fee). You may contact James Lynn for more information at
or by calling him at 770-651-5514. Concessions will be sold at this event.
Name of Student (First and Last)
Parent Cell Phone Number
Parent email address
How would you like to confirm this registration?
by text message
What school does your child attend?
In which division will your student compete?
Your student is in which grade?
If you have a USCF membership #, please put it here.
There will be a concession stand for food. You may bring a lunch or bring money for the concession stand. Does your child have any allergies of which we need to be aware?
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