Please fill out all sections of this form and mail to:
Steve McLaughlin,
2745 Pershing ave.
Roslyn, PA 19001
Please make all checks payable to “Steve
McLaughlin"
| Entry fee: | |
| PSCF membership fee($5): | |
| USCF membership fee: | |
|
Total: |
Last name |
First name |
MI |
Grade |
|
USCF ID |
USCF Rating |
Exp Date |
||
Street Address |
City, State |
ZIP |
||
School |
Date of Birth |
Male or Female |
||
Club Team
(if playing for one)
|
Phone: | E-mail: | ||
Section (must check one): |
o Elementary Championship (K-6) o Elementary U700 (K-6 and Under 700 if rated) o Primary Championship (K-3) |
|||
All players must be current USCF members and PSCF members!
Note: If the player was in the 2006 State Scholastic then that player is a PSCF Member.
Available USCF memberships:
o Young Adult (24 & under) $25 (includes 12 issues of Chess Life magazine)
o Youth (15 & under) $19 (includes 6 Bimonthly issues of Chess Life magazine)
o Scholastic (12 & under) $17 (includes 6 Bimonthly issues of Chess Life for kids)
Please be sure to…..
…….fill
out all fields in the entry form.
…….enclose a check for $ to "Steve McLaughlin"
…….Early Entry must by POSTMARKED by 11/03/2006