Western Province Youth Open
REGISTRATION FORM

Date:
Saturday 13 July 2019, 08:15
Venue:
Sarepta Sport and Recreation Centre
Map
https://goo.gl/maps/uAUxYPb1FKzQEyVj8

Information brochure can be viewed here: http://chesswesternprovince.co.za/events/wp-youth-open/

Sections Open for Registration

BANKING DETAILS
ACCOUNT NAME: Chess Western Province
BANK NAME: STANDARD BANK
ACCOUNT NUMBER: 070 157 359
BRANCH CODE: 020 009
SWIFT CODE: SBZAZAJJ

Please email proof of payment to : fin@chesswesternprovince.co.za

Please answer all the questions & complete one form per player.

Email address *
Section? *
Please select the relevant playing section
Surname *
Your answer
First Name(s) *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Residential Area
In which area or suburb do you live? e.g. Stellenbosch?, Somerset West?, Durbanville?, Grassy Park?
Your answer
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