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ONLINE REGISTRATION FORM
CARIBBEAN CHESS CARNIVAL 2013
ENTRY FORM
'asterisk' denotes mandatory fields
Section: (Please tick) OPEN   UNDER 10  UNDER 14  UNDER 20  NOVICES *
PASSPORT # (Overseas players only):
FIRST NAME:  *
FAMILY NAME:  *
DATE OF BIRTH:  * (dd-mm-yyyy or dd/mm/yyyy format)
HOME ADDRESS:  *
HOME TELEPHONE NO.:  *
E-MAIL ADDRESS:  *
FIDE ID #:
FIDE(Rating):
PARENT'S NAME(Locals Only):
PARENT'S WORK TELEPHONE(Locals Only):
PARENT'S HOME TELEPHONE(Locals Only):
(If different from above)
CONSENT FOR MEDIA PRODUCTIONS:

We, parent(s) and/or guardian(s) and contestants, hereby grant full consent to the Trinidad and Tobago Chess Foundation for the free use of contestant’s picture or name in any broadcast, telecast or other account of any of the Trinidad and Tobago Chess Foundation’s practices, events and travel, for any purpose whatsoever.

 I have read, understood, and agree to abide with the tournament regulations as set forth in this application. *
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