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Clover Challenge: Scholastic Chess Tournament Saturday, November 8, 2014
Clover Challenge: Scholastic Chess Tournament Saturday, November 8, 2014
Clover Challenge: Scholastic Chess Tournament Saturday, November 8, 2014
Clover Challenge
Scholastic Chess Tournament
Saturday, November 8, 2014
Please print legibly!! Only one player per form, may mail multiple entries together and pay with one check.
Section: (eligibility based on Nov 2014 USCF ratings; email section changes to beltz94@yahoo.com)
Non-rated: ___ K-3
___ 4-6
___ 7-12
(USCF membership not required. Players with 10 or more prior rated games not eligible. Clocks not required but
used if both players agree)
Rated:
(Open to unrated and provisionally rated players. USCF membership required. Bring clocks.)
Name ____________________________________________________________________________
Grade _____ Date of Birth _______________ Male __ Female __
Mailing Address ____________________________________________________________________
City/State/Zip ______________________________________________________________________
School (or Home School) ___________________________________________________________
Club team, if different ________________________________________________________________
Telephone (____) ______________________ E-mail _______________________________________
USCF# ____________________________ Expiration Date _________________ Rating ___________
(USCF membership required for rated sections, buy or renew online at www.uschess.org if needed.)
New!! We may be able to text or email pairings as they become available during the tournament. If
you would like to receive them, please provide your preferred email address and/or cell phone number
and carrier (eg, Verizon, Sprint, AT&T, etc.) while at the tournament. Please note, you might need
cellular or wireless service to receive pairings, wifi may not be available:
Email:
Cell Phone Number:
Carrier:
Mark applicable entry fee (limit one player per entry form, but ok to pay for multiple entries with one check:
Postmarked on or before October 24: $25. Postmarked on or after October 25 $30; must be received by
11/4. Limited number of discounts for low-income families, contact beltz94@yahoo.com before registering.
Checks payable/mail to Licking County 4-H Committee, c/o Tim Beltz, 94 Grant St, Newark OH 43055.
Entries posted at www.neilley.com/chess unless opt out, check on line to confirm receipt and accuracy, send
corrections asap to beltz94@yahoo.com.