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CSGA Chess Tournament Program Registration
Tournament Location:
Zachary Lane Elementary School
4350 Zachary Lane N, Plymouth, MN 55442
February 8, 2020, 9:00 AM - 4:00 PM
FEE: $16, CSGA Tournament Instruction @ SCA Tournament
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* Indicates required question
Student Name
*
Your answer
Student Current Grade
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Other:
Medical Needs/ Accommodations/Special Needs
*
Your answer
Student's School District/Attendance Area
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number (List as many as necessary.)
*
Your answer
Parent/Guardian Email (List as many as necessary.)
*
Your answer
Additional Emergency Contact: Include Name, Phone & Relationship to Student
*
Your answer
Photo permission
*
I grant permission for photos to be taken of my child at this event.
I do NOT grant permission for photos to be taken at this event.
Required
Emails and newsletters from CSGA
*
I would like to receive emails and newsletters from CSGA regarding news and upcoming events
I would not like to receive emails and newsletters from CSGA
I already am on the email list and currently receive emails and newsletters from CSGA
Registration
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FEE: $16, CSGA Tournament Instruction @ SCA Tournament
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