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PARTNERS





Maryland Chess
Association


SPONSORS
The Chess House



Individual Registration Form 2006 Pan-American Chess Championships

Event

Intercollegiate Scholastic

School

Short Name or Abbreviation
Notes for Media (optional)

Cell phone of Team Captain

Intercollegiate Team (A B C D E F G H)

  First Name Last Name FIDE Rating or Equivalent Captain? Will play in Closed? Sex (F/M)
1
2
3
4
Alternate 1
Alternate 2

Average Team Rating:
(Average of four highest-rated players/alternates).

Do you consider your team….

an “Amateur Team”? (see web site for definition)
yes no

an all-women team?
yes no

a mixed team (at least two men and two women)?
yes no

Do you request any byes?
yes no

Scholastic Team

  First Name Last Name FIDE Rating or Equivalent Captain? Will play in Closed? Sex (F/M)
1
2
3
4


Comments, Questions, or Concerns (optional)


you can also print, fill out and send this registration form 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