Individual Registration

Player's Name (last, first)  *

Registration Type  *

Tournament Registration Only (the player’s US Chess membership will be current / will not have expired)

Tournament Registration & US Chess Membership (new or renewal)

Purchaser's Name (Last, First)  *

Purchaser's Email Address  *

Player's First Name & Middle Name or Middle Initial  *

Player's US Chess Membership ID # (Enter "none" ONLY if the player has never had a membership)  *

Forfeit Fine  *

$5: Scholastic Tournament: K-12. 1st Forfeited Round.

$20: Scholastic Tournament: K-12. 2nd Forfeited Round.

$50: Open Tournament: K-12 & adults. Any Forfeited Round.

Are you a K-12 MD resident rated 1400+ who wants to be invited to the annual Maryland Sweet 16 in March? See MDChess.com for more details.  *

No

Yes

Payment Information

Amount

$

Payment Method

Paypal

Credit Card Number*

Expiration Date*

01 02 03 04 05 06 07 08 09 10 11 12 / 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033

Card (CVV) Code*

Card Holder Name*