MCC SUMMER SCHOLASTIC CHESS PROGRAM — 2007 ENTRY FORM

All Players must be under 15 years of age by the end of the event. (Born after August 2, 1992)

Copy this form to enter multiple players. The Entry Form is also available on our website www.MetroWestChess.org

Player Name: ___________________________________________________________________________
Birth Date: ____________________________________	[ ] Male [ ] Female
USCF Number (if you have one): ____________________________	Exp. Date: __________________

Check if you are [ ] joining USCF [ ] renewing USCF membership
	Youth	$17	15 years and under - Receives 6 issues of Chess Life Magazine
	Scholastic	$15	12 years and under - Receives 6 issues of Chess Life for Kids

								USCF dues: $__________
Indicate the events you want to play in
	[ ]	Challenge	June 28, July 5, 12, 19, 26, August 2
	[ ]	First Reserve	June 28	July5		July 12
	[ ]	Second Reserve	July 19	July 26		August 2
Enter the applicable entry fee:
	$12 for one Reserve Event		$20 for both Reserve Events		$20 for the Challenge Event
							Entry Fee: $__________

Total dues and entry fees:	$___________
Parent/Adult Name(s): ___________________________________________________________________
Address:_______________________________________________________________________________
Telephone (including area code): _________-_________-_____________
Email: ______________________________________________________________________
Write check for the total amount, payable to MetroWest Chess Club or register on-line and pay by PayPal