• TOURNAMENTS:
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2017 LA STATE CHAMPIONSHIP & BLITZ CHAMPIONSHIP

Sign-up/Entry Form:
[ Just click and type right on the red lines! ]
Name:
USCF Number:
USCF Rating:
  • Bye Rds:
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
FIDE Number (if you have one):
FIDE Rating (if you have one):

IF YOU DO NOT HAVE A FIDE NUMBER, THEN PLEASE FILL IN THE FOLLOWING AS THIS INFORMATION IS REQUIRED TO HAVE THE TOURNAMENT FIDE RATED:

Date of Birth:
Birth City:
Birth State:
Country of Citizenship:
Gender (Male or Female):
Email:
Registration Fee: $95.00
Qty:
2017 LA STATE CHAMPIONSHIP & BLITZ CHAMPIONSHIP