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Attendee# 1 Child’s Full name or Nickname *

Attendee# 2 Child’s Full name or Nickname (optional)

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Attendee# 1 Child’s Birth Date  *

Attendee# 2 Child’s Birth Date  (optional)

Attendee# 1 Child’s Current Grade  *

Attendee# 2 Child’s Current Grade  (optional)

Attendee#1 Select Section *K-4 Starter (Unrated Section) *K-5 Under 600 (4 rounds) *K-10 Under 900 (4 rounds) *K-12 Under 1300 (3 rounds) *

Attendee#2 Select Section (optional)K-4 Starter (Unrated Section) (optional)K-5 Under 600 (4 rounds) (optional)K-10 Under 900 (4 rounds) (optional)K-12 Under 1300 (3 rounds) (optional)

For the ‘Best Team’ award (2+ players): Write the name of the School or Chess Club Team (optional)

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