10th Annual Potomac Open - Individual Registration

Player's Name (last, first) *

Section E *

Championship, USCF rating greater than 2000 [0]

Under 2200, USCF rating greater than 1800 [2]

Under 2000, USCF rating greater than 1600 [4]

Under 1800, USCF rating greater than 1300 [6]

Under 1600, USCF rating greater than 100 or unrated [8]

Under 1300 or unrated [10]

Under 1000, no adult unrated [12]

Playing Schedule(4) *

Three-day

Two-day

FIDE Title *

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 *

Are you staying at the Hilton? *

yes

no

Reservation Confirmation Number *

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 *

Requested 1/2 point Byes (limit 3)

Round 1

Round 2

Round 3

Round 4

Round 5

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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Individual Registration

10th Annual Potomac Open
July 21-23, 2023
Rockville Hilton, MD

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