Team Name

Captain's Name

Captain's Board Number? Choose One 1 2 3 4

Address

Address 2

City

State

Zip

Phone

Board 1 Name

Board 1 Rating Source

Board 1 Rating

Board 2 Name

Board 2 Rating Source

Board 2 Rating

Board 3 Name

Board 3 Rating Source

Board 3 Rating

Board 4 Name

Board 4 Rating Source

Board 4 Rating

Total team rating may not exceed 4800. Use USCF or WSRS ratings (whichever is highest). Unrated players or players who have played in less than 3 tournaments will be given a rating of 1200).

Please note: Placing players out of strength order is called stacking. If a team stacks the boards, they will forfeit all matches.

Total Team Rating

Email Address

Registered By

Tournament Date

Subway Sandwich for Lunch? Choose One Yes No Not Sure

Do you Want to Blitz? Choose One Yes No Not Sure

Do you Want to Bughouse? Choose One Yes No Not Sure

At the end of the tournament we'll play either bughouse or blitz, whichever is most popular. If you don't have a bughouse partner, we'll match you up with someone and you'll make a new friend.

Do you have a clock? Choose One Yes No

Payment Method Choose One Credit Card Online By Mail At the Door

Additional Comments