2009 LONG ISLAND INTERSCHOLASTIC
TEAM CHESS CHAMPIONSHIP SUNDAY, MAY 3, 2009
REGISTRATION FORM
School Name ____________________________________________________
School District____________________________________________________
School Address___________________________________________________
Division Entering: K – 3 □; K – 5 □; MIDDLE SCHOOL □; HIGH SCHOOL □;
Chess Team Chaperon
Name ______________________________________________________________________
E-mail _______________________________________ Tel __________________________
List the players in the order of their chess playing level
Board # | Last Name | First Name | Grade |
BOARD 1
| | | |
BOARD 2 | | | |
BOARD 3 | | | |
BOARD 4 | | | |
Mail the Registration Form and $120 Entry Fee to: ChessMates, 1339 73rd St, Brooklyn, NY 11228. Please make checks payable to ChessMates.
E-mail: TD@lischolasticchess.com Tel: (516) 225-0600