Welgemoed Chess Challenge 2019
REGISTRATION FORM

23 February 2019
Sections Open for Registration

Payments can be done at the venue between 07:00 and 08:30 on 23 February

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

Email address *
Section? *
Please select the relevant playing section
Required
Surname *
Your answer
First Name(s) *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Residential Area
In which area or suburb do you live? e.g. Stellenbosch?, Somerset West?, Durbanville?, Grassy Park?
Your answer
Cell-phone number *
Your answer
Landline
Do not type hyphens or spaces.
Your answer
CHESSA Number: *
If you have a CHESSA number and know what it is, enter it, otherwise type N/A.
Your answer
Current School or Tertiary Education Institution *
Enter the name of your current school or university under "Other" below.
How long have you been playing chess
Comments or Questions
Please indicate if you will be absent for any rounds • Also indicate anything further which you feel we should know about, including disabilities.
Your answer
A copy of your responses will be emailed to the address you provided.
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