Nevada Chess Scholastic Championships

2013 Nevada State Scholastic Championships Player Entry

Last Name ,	First Name	Gender	Birth Date
School		Grade	Contact Phone
Please indicate which section you are entering K - 3 K - 5 K - 8 K - 12		Additional Lunches at $10 each
Membership Status I am a current USCF member ($30 entry fee)		USCF ID	Click here to find USCF ID
I am not a current USCF member ($50 entry fee + membership)		Expired Members Still Need to Enter USCF ID
Enter player's address if different from person paying for entry
I certify I am the player’s guardian or authorized by the guardian to submit this entry.
Person submitting this entry	Relation to Player		Total FEES

NEVADA CHESS, INC.