Register | Chess For Success

Please fill in all information so we can notify you in case of cancellation and so we can send future chess information to the correct address. Players who attend public or private schools without chess clubs must register as individual players in the region where their school is located. Home school students must register as individual players in the region where they live. For tournament information click here.

Refund policy: Refunds will be made minus an administrative fee of $5 if cancellation is received by the day before the tournament.
* By registering I agree to accept responsibility for the safety of the child/children being registered.

* Registration fees (check one):
	Early registration discount: $17.00 per player if form and fees are submitted online or postmarked by
	Registration: $25.00 per player if form and fees are submitted online or postmarked
	Late Registration: $33.00 per player if form and fees are submitted online or postmarked by Registrations after these dates will not be accepted.

* I am registering for (Choose one):

School Registrations: (Examples for Tournament Name - Regional, City of Portland or Girls Play Chess)
Tournament Name*
Advisor or Parent First Name*
Advisor or Parent Last Name*
Advisor or Parent Address*
Advisor or Parent City*
Advisor or Parent State*
Advisor or Parent Zip Code*
Advisor or Parent Email*
CFS Region # *
School Name *
School Address*
City*
Zip*
Advisor's or Parent Phone (include area code)*

Individual Registrations: (Examples for Tournament Name - Regional, City of Portland or Girls Play Chess)
Tournament Name*
Parent/Guardian First Name*
Parent/Guardian Last Name*
Parent/Guardian Address*
Parent/Guardian City*
Parent/Guardian State*
Parent/Guardian Zip*
Parent/Guardian Email address*
CFS Region # *
School Name*
School Address*
City*
Zip*
Parent/Guardian Phone (include area code)*

Player Information: Send one registration per division. Ratings (new this year): High school students should enter a USCF rating if they have one. Elementary and middle school students should enter a NWSRS rating. If they do not have a NWSRS rating, enter a rating based on grade level times 100. For example, first grade = 100, second grade = 200, third grade = 300.

Player #	Last Name	First Name	Grade Level	NWSRS or USCF Rating
1*
2
3
4
5
6
7
8
9
10

T-shirts are not available.

Size	Youth Small	Youth Medium	Youth Large	Adult Small	Adult Medium	Adult Large	Adult XL	Adult XXL	Adult XXXL
Price	$10.00	$10.00	$10.00	$15.00	$15.00	$15.00	$20.00	$20.00	$20.00
Quantity

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City:
State:
Zip Code:

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