Scholastics Tournament at the VA Closed
Entry Form
(One form per player)

Print this form, Fill it out, and Mail your payment to ARRIVE by Thursday, Aug 29th
Send to:  Mike Hoffpauir, 405 Hounds Chase; Yorktown, VA 23693
Checks payable to "VCF"
If you enter "on line" after July 1st, you do not need to re=enter by Mail.
Any Mail-in entries we receive by July 1st will be "pre-posted" to our On-Line entry site.

Player's Last Name: _________________________

First Name: ______________    MI: ______

Section you are entering (circle one):       K12 Rated/Open      K5 Rated/Open       K12 Not-Rated      K5 Not-Rated

If you are playing in the Open Section, provide your USCF ID Number or write "New"  ________________

Join or renew your US Chess Federation Membership at www.uschess.org; or join at the tournament.

Street Address:  _________________________

                          _________________________

Email:  ____________________

Phone:  ____________________

City:  _______________________,

State: ____

Zip: _________

School Attending in 2013-14:  ________________________________;  County: _______________ 

Grade in 2013-14:  ________

Optional Bye Requests (choose your bye by circling no more than 1 round):       Rd 1       Rd 2       Rd 3       Rd 4       Rd 5

Early Entry Fee is $15;    Pay $20 if you wait to enter at the Tournament.

Your Total Payment:  _______