10th Annual Washington International - Individual Registration

Player's Name (last, first) *

Section_WI *

Championship [0]

Premier [1]

Contenders [2]

Select your Entry type *

GM or non-US IM

US IM or WGM or non-US FIDE over 2000

FIDE 2000 or more

FIDE under 2000

What is your FIDE country? *

FIDE Rating

FIDE Title a

None

GM

IM

WGM

WIM

FM

WFM

Player's US Chess Membership ID # (Enter "none" ONLY if the player has never had a membership) *

Player's US Chess Membership Expiration Date (yyyy/mm/dd) (new members enter birth date) *

How do you want to be notified of your pairings? *

SMS Text Message

Email

Both

Neither

Registration Type *

Tournament Registration Only (the player’s US Chess membership will be current / will not have expired)

Tournament Registration & US Chess Membership (new or renewal)

Mobile Phone # for pairings to be texted to you *

Email Address for pairings to be emailed to you *

Purchaser's Name (Last, First) *

Purchaser's Email Address *

Player's First Name & Middle Name or Middle Initial *

Player's Last Name *

Date of Birth (ALL 8 numbers: mm/dd/yyyy: 12/31/1999) *

US Chess Membership Type (player’s age during tournament) *

ages 1 - 12, $17, Scholastic: Regular (12 months), Chess Life for Kids (online) [UN1]

ages 1 - 12, $25, Scholastic: Premium (12 months), Chess Life for Kids (6 issues) [U1]

ages 13 - 15, $22, Youth: Regular (12 months), Chess Life for Kids (online) [YN1]

ages 13 - 15, $30, Youth: Premium (12 months), Chess Life for Kids (6 issues) [Y1]

ages 16 - 24, $26, Young Adult: Regular (12 months), Chess Life (online) [JN1]

ages 16 - 24, $35, Young Adult: Premium (12 months), Chess Life (12 issues) [J1]

ages 25 - 64, $40, Adult: Regular (12 months), Chess Life (online) [RN1]

ages 25 - 64, $49, Adult: Premium (12 months), Chess Life (12 issues) [R1]

ages 65+, $40, Senior (12 months), Chess Life (12 issues) [E1]

Gender *

Male

Female

Unknown / Not Available

Address 2

Address *

City *

State *

Zip *

Are you a first time Wash Intl Player? *

no

yes

Will you be 50 or older on Aug 11? *

no

yes

Are you staying at the Hilton at the group rate?

no

yes

Hilton Confirmation Number *

Select rounds you would like 1/2 point byes

Round 1

Round 2

Round 3

Round 4

Round 5

Round 6

Round 7

Round 8

Round 9

Family Discount

no

yes

Names and Relationship of Family Members *

Is your rating less than 1750?

no

yes

Is your rating less than 1200?

no

yes

Are you a K-12 MD resident rated 1400+ who wants to be invited to the annual Maryland Sweet 16 in March? See MDChess.com for more details. *

No

Yes

Coupon

Amount

$

Discount Amount

$

Gross amount

$

Payment Method

Paypal

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

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