Register | Chess For Success

Please fill in all information so we can notify you in case of cancellation and so we can send future chess information to the correct address. Players who attend public or private schools without chess clubs must register as invidual players in the region where there school is located. Home school students must register as individual players in the region where they live. For tournament information please click here.

* By registering I agree to accept responsibility for the safety of the child/children being registered. Registration for the City of Portland Tournament is closed.

* Registration fees (check one):
	Early registration discount: $17.00 per player if form and fees are submitted online or postmarked by.
	Registration: $25.00 per player if form and fees are submitted online or postmarked between.
	Late Registration: (Registrations submitted online or postmarked after these dates will not be accepted, nor will onsite registrations.) $33.00 per player if form and fees are submitted online or postmarked between.

* I am registering for (Choose one):

School Registrations: (Examples for Tournament Name - State Team, State Indvidual, Regional)
Tournament Name*
Advisor or Parent First Name*
Advisor or Parent Last Name*
Advisor or Parent Address*
Advisor or Parent City*
Advisor or Parent State*
Advisor or Parent Zip Code*
Advisor or Parent Email*
CFS Region # *
School Name *
School Address*
City*
Zip*
School Phone (include area code)*
Advisor's or Parent Phone (include area code)*

Individual Registrations:
Tournament Name*
Parent/Guardian First Name*
Parent/Guardian Last Name*
Parent/Guardian Address*
Parent/Guardian City*
Parent/Guardian State*
Parent/Guardian Zip*
Parent/Guardian Email address*
CFS Region # *
School Name*
School Address*
School Zip*
City*
Parent/Guardian Phone (include area code)*

Player Information: Send one registration per division, listing best player first. If your child does not have a USCF Rating leave it at the pre-set ratings.

Player #	Last Name	First Name	Grade Level	USCF or NWSRS Rating
1 *
2
3
4
5
6
7
8
9
10

Tee Shirts will not be available for the City of Portland Tournament.

Size	Youth Small	Youth Medium	Youth Large	Adult Small	Adult Medium	Adult Large	Adult XL	Adult XXL	Adult XXXL
Price	$15.00	$15.00	$15.00	$17.00	$17.00	$17.00	$19.00	$19.00	$19.00
Quantity

Ship To Address:

Name:
Street:
City:
State:
Zip Code:

* = Required