Lighthouse Chess Club Membership Form 2020


Email address *
First Name *
Your answer
Last Name *
Your answer
Parent / Guardian for member below 18 years
Your answer
Gender *
Required
Date of Birth *
MM
/
DD
/
YYYY
Phone number *
(For juniors, kindly provide the phone number of the parent/guardian )
Your answer
FIDE ID (input 1200 If you dont have one)
Your answer
Submit
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