CMSCA: Registrations

Registration for 32ND ANNUAL SOUTHERN SCHOLASTIC

Name: *

First Name

Last Name

Home Address: *

Street Address

City

State

Zip Code

Phone Number:

USCF ID (Must be current): *

Grade (select from menu):

Section:

Bye Request:

City:

School Name:

I do hereby grant to Charlotte-Mecklenburg Scholastic Chess Association ('CMSCA') the unlimited right to use and/or reproduce photographs, likenesses or the voice of my child in any legal manner and for the internal or external promotional and informational activities of CMSCA. I also agree to allow my child's work and/or photograph to be published on the CMSCA Internet web pages or CMSCA publications. I further understand that by signing this release, I waive any and all present, or future compensation rights to the use of the above stated material(s). *