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Event Details
INDIVIDUAL ENTRY FORM
2010 Florida SuperState VII Scholastic Chess Championship March 19-21, 2010
DoubleTree Miami Mart Airport Hotel - 711 NW 72nd Avenue, Miami, FL 33126
IMPORTANT: EACH PLAYER MUST HAVE THIS FORM FILLED OUT AS COMPLETELY AS POSSIBLE. DO NOT USE THIS FORM TO LIST MULTIPLE ENTRIES, PHOTOCOPY AS NEEDED AND SEND ALL. PLEASE TYPE OR PRINT LEGIBLY TO AVOID NON-ENTRY.
Thirteen Sections: (Circle one section)
K-1 K-3 OPEN K-3 U/500 K-3 UNR K-5 OPEN K-5 U/600 K-5 UNR
K-8 OPEN K-8 U/750 K -8 UNR K-12 OPEN K-12 U/1000 K-12 UNR
Name: _________________________________________ (use name listed by USCF)
(Last) (First)
Street Address: _________________________________________________________
City: ___________________________ County: ____________, FL Zip: __________
School: ___________________________________________ Grade: _____________
Telephone: ___________ E-mail: ___________________________________________
Birth Date: __________________________ Gender: Male / Female (circle one)
USCF ID #: ________Rating: __________ USCF expiration date: ________________
Name of Coach: ________________________________________________________
SIDE EVENTS: (Available sections K-5 and K-12)
BLITZ: Friday, March 19, 2010 Registration 5:00-7:00 p.m. Games start 7:30 p.m.
· Register for Blitz on-site!
BUGHOUSE: Saturday, March 20, 2010 Registration 5:00-7:00 p.m. Games start 7:30 p.m.
· Register for Blitz on-site!
· Current USCF membership is required to participate. Register online at www.uschess.org
ENTRY FEES: All must be included to process entries. No registration or changes after 8PM on March 19, 2010
· $40.00 entry fee for State Championship if received by March 5, 2010, thereafter $50.00 _______
· $30.00 entry fee for Title I students if payment received by March 5, 2010, thereafter $40.00 _______
Total _______
(Send check or money order only: Make payable to FSCL)
(You may also register online at www.fsclchess.org)
SEND ALL ENTRIES & FEES TO:
FSCL C/O ELIZABETH TEJADA
P.O BOX 22629
HIALEAH, FL 33002-2629
If you have any questions, you may contact….
Mrs. Elizabeth Tejada
E-mail: Tejada@fsclchess.org
Phone: 786 444-2467
Fax: 305 640-8658
HOTEL RATE FOR THIS EVENT IS $129.00 PER NIGHT AND IS GUARANTEED TO SELL OUT FAST! DO NOT MAKE A RESERVATION WITHOUT ENSURING THAT YOU ARE REGISTERING UNDER THIS EVENT. TO RESERVE ROOMS BY TELEPHONE, CALL 1 888 353-1995 AND ASK FOR THE “Florida SuperState VII Chess Championship rate”
Additional information is available at www.fsclchess.org
When & Where
Doubletree Miami Mart/Airport Hotel & Exhibition Center
711 N.W. 72nd Avenue
Miami,
FL USA 33126
Friday, March 19, 2010 at 5:00 PM - Sunday, March 21, 2010 at 2:00 PM (ET)
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Hosted By
Florida Scholastic Chess League
Hosted By FSCL and Sanctioned by FCA
