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Membership Voucher

DRAFT.

This voucher, when signed by a coach, parent and player from the Coastal Bend of Texas, can be redeemed for a first year's membership in the United States Chess Federation.

As a new chess player, I (sign your name):_______________________________ am ready to try chess as a scholastic activity. I (fill in or check off)

• Am attending grade _____
• At _____________________________ School
• and have never been a member of the USCF before_____
• and will try playing chess for at least 3 tournaments_______.

As a parent or guardian of the above player, I:______________________________ will support my player in his/her efforts and certify that paying the cost of a scholastic membership in the USCF would be a financial hardship.

To be complete, the following information must be complete. If it is not complete, it will not be accepted by the tournament organizer.

• Last Name:
• Middle Name:
• First Name:

• Date of Birth

• Address:

• Telephone:

• School/Grade:

• Coach:

• email (optional):