Individual Registration

Player's Name (last, first)  *

FIDE Title  *

None

GM

IM

WGM

WIM

FM

WFM

Chesapeake Section  *

Championship, USCF rating greater than 2000, FIDE [0]

Under 2200, USCF rating greater than 1900, FIDE [1]

Under 2000, USCF rating greater than 1600 [2]

Under 1800, USCF rating greater than 1400 [3]

Under 1600, USCF rating greater than 1200 [4]

Under 1300 or unrated [5]

Under 1000, no adult unrated [6]

Chesapeake 13/10 Schedule  *

Three-day [0]

Two-day [1]

Playing Schedule Chesapeake  *

Four-day [0]

Three-day [1]

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 at the group rate?  *

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 - 18, $20, Youth (12 months), Chess Life for Kids (online) [UN1]

ages 1 - 18, $26, Youth (12 months), Printed Chess Life for Kids (6 issues) [U1]

ages 19 - 23, $27, Young Adult (12 months), Chess Life (online) [YN1]

ages 19 - 23, $39, Young Adult (12 months), Printed Chess Life [Y1]

ages 24 - 64, $45, Adult(12 months), Chess Life (online) [JN1]

ages 24 - 64, $57, Adult (12 months), Printed Chess Life (12 issues) [J1]

ages 65+, $40, Senior (12 months), Chess Life (online) [RN1]

ages 65+, $52, Senior (12 months), Printed Chess Life (12 issues) [R1]

Gender  *

Male

Female

Unknown / Not Available

Address 2

Address  *

City  *

State  *

Zip  *

Requested Byes (limit 5)

Round 1

Round 2

Round 3

Round 4

Round 5

Round 6

Round 7

Comment

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

Payment Information

Amount

$

Discount Amount

$

Gross amount

$

Payment Method

Paypal

Credit Card Number*

Expiration Date*

01 02 03 04 05 06 07 08 09 10 11 12 / 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033

Card (CVV) Code*

Card Holder Name*