REGION * Region 2 (Nov 7)
Region 3 (Oct 24)
Region 4 (Oct 24)

COUNTY *

SECTION ENTERING * Denker: High School (9-12)
Barber: Middle School (6-8)
Rockefeller: Elementary School (K-5)
Primary School (K-3)

Parent/Guardian First Name *

Parent/Guardian Last Name *

Email *

Address *

City/Town *

Zip/Post Code *

Phone *

School *

Grade * Select ... Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12

Date of Birth *

Gender * Select ... Male Female Prefer not to say

US Chess ID

TD Comment

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