HVCSJ Registration
If you have any questions, contact us at:

Robert Lakata
215 947-3485
chess@hvaa.net
www.hvcsj.org

First name *
Your answer
MI
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Last name *
Your answer
Date of Birth *
MM
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DD
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YYYY
Gender *
USCF Membership Number
Don't worry if you don't have one! We'll register you with the USCF if you aren't already
Your answer
USCF Membership Expiration Date
MM
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DD
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YYYY
Chess player's address *
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Phone number *
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Email *
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School *
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Grade *
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Parent's Name(s) *
Your answer
T-Shirt Size *
You can order extra shirts for an additional fee by contacting Anamarija Lakata
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Would the parent(s) like to volunteer as...
Does the chess player have his/her own chess set with clock? *
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