ACC Blitz Tournament

REGISTRATION FORM:

ACC Blitz Tournament

5rd Double-Swiss - G/5 d2

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Mt. Olivet United Methodist Church

1500 N. Glebe Road, Arlington, VA 22207

The Arlington Chess Club (ACC) thanks you for your interest and participation in our tournaments and other chess events! Registering and paying in advance saves your time and that or our organizers. "Thank you!" All players in good standing with the USCF including all students in public, private or home school, in any state, are welcome to participate in our chess tournaments.

TO REGISTER: Fill out the form below and submit payment using the secure payment website. Required information is indicated with a red asterisk (*). Registration is complete and your information is submitted to tournament organizers as soon as your payment is processed.

IMPORTANT: Be sure to bring your own equipment (chess sets, boards and clocks) to all ACC events, as is normal for most USCF events.

All of our tournaments are USCF rated, which means that players must be members of the U.S. Chess Federation to play. USCF Membership fees vary by age, starting at $54 for adults per year, with lower rates for youth and those over age 65.

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ENTRY INFO:

** PLEASE fill out a separate form for EACH player. **

Please provide accurate info so that if it is necessary we can track you down before/after the event. Also, this information helps the TD quickly process entries and update USCF memberships.

Your contact info will not be shared with any other party.

Player's Name*

First NameMiddle NameLast Name

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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

YesNo

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PLAYER INFO:

Players must be USCF members. If you are a new player or if your membership has expired, we can sign players up for 1 year regular memberships - see "Payment Info" section below. Alternatively, players can go to the USCF website.

New USCF members: enter "999" in each of the following fields.

USCF ID*

Required to Play

Rating*

USCF Expiration Date*

Must be CURRENT to Play

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PAYMENT INFO:

TOURNAMENT ENTRY FEE: THIS IS THE ONLY REQUIRED PAYMENT.

BIRTHDATES: Include a birthdate in the box above to qualify for any Youth or Senior memberships below.

Senior / Youth Memberships: These memberships (for any of ACC, USCF, VCF and/or Chess Life) are subject to age re-confirmation. Please include a birthdate for these rates in the appropriate box above.

ACC CLUB Memberships: Only select one ACC payment option (Adult, Senior or Youth).

USCF Memberships: These payment options are not required. Only select a USCF Membership payment if your current membership has expired or will expire before you play in an ACC tournament/Ladder OR if you do not have a USCF membership. Only select one USCF payment option.

** Chess Life (or Chess life for Kids): ** This is an EXTRA USCF PAYMENT option. Include payment for either of these options if you want to receive hard copies of Chess Life or Chess Life for Kids magazines by MAIL, rather than just accessing them online through the USCF website. You receive 12 issues for the regular magazine and 6 issues for the Kids version.

VCF Memberships: These payment options are not required to play in ACC events, but they are provided here for convenience. These memberships cover play by Virginians in VCF tournaments for one year and come with 6 annual issues of the VCF Newsletter.

Birthdate - ONLY for USCF rates for Seniors / Youths

mm/dd/yyyy

Fee & Other Pricing:

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Card Expiration