Welcome to the Pan American Intercollegiate Chess Tournament!

Intercollegiate Team Scholastic Team Closed

A USCF National Event

Scholarship Prize

Download Flyer
(MS Word)

Poster (PDF)

PARTNERS

Maryland Chess
Association

SPONSORS
The Chess House

Individual Registration Form 2006 Pan-American Chess Championships

Name

Full legal name
Nickname

Delegation
short school name or abbreviation
intercollegiate scholastic

affiliation:

player	alternate	coach	faculty
student	alumni	fan

Will you play in the Closed?
	yes
	no

If yes�
	Open
	U1800

Do you request any byes? details
	yes
	no

Contact Information

name
email
tele
cell
mailing address
emergency contact (optional)

USCF Membership

Are you a USCF member?
	yes
	no
	ID Number
	State
	Expr Date

FIDE Titles
GM IM FM WGM WIM

Ratings

USCF rating if any
FIDE rating if any
foreign rating

Amateur / Professional Status

Do you consider yourself a professional as defined by FIDE?
Do you consider yourself a professional chess player?
Are you on any chess scholarship in fall 2006?
Are you on any scholarship in fall 2006?
(For this event, a professional is anyone on any chess scholarship, or any IM or GM on any scholarship.)

Eligibility Confirmation (Intercollegiate)

Are you a degree-seeking student in fall 2006 making progress toward the degree?

degree sought
expected graduation date

Are you registered for at least half time status (two regular courses) in fall 2006?

Is your cumulative GPA (grade point average) at least 2.0 (on a 4-point scale)?

If you are an IM or GM, what is your age as of 9-1-06?
Birth date

How many times have you previously played in the Pan-Am for any school?

Entry Fee

Did your delegation already pay for you? yes no
If not�..
Pan-Am Closed ($120)
Pan-Am Closed late ($150)
Non-player social fee ($60)
Non-player social fee late ($80)
(The social fee includes reception and snack food at each round).

Media Information (optional)
Notes
upload photo

Comments, Questions, or Concerns (optional)

you can also print and fill out registration form and
send it to

CSEE UMBC
1000 Hilltop Circle
Baltimore, MD, 21250
Dr. Alan Sherman

University of Maryland, Baltimore County • 1000 Hilltop Circle, Baltimore, MD 21250

email questions and comments