2005 Team Event

Chess Palace Scholastic Amateur Team
Southern California Scholastic Team Tournament

(This is a Stateswide Chess Tournament and not a ChessPalace sponsored event.)

February 19: 2006 10:00am-approx. 5:00pm


2005 Team Event
DETAILS:
Eligible: This a state-wide chess event that ChessPalace K-12th students and club members of all level are welcome to participate by registering at the club. ChessPalace will arrange the order and arrangement of the teams. Although this is a major event, the club's main objective is to allow our students to have a ton of fun playing together and instill a positive team spirit among them =).
Format: USCF Rated Event, must be a USCF member. 4 Rounds- Time Control: Game/45, rds; 10:30, 1, 2:45, 4:30. 4 players in a team w/ one alternate.
Site Location: Marina San Pedro Hotel, 2800 Via Cabrillo Marina, San Pedro CA 90731.
Registration fee: $30 includes registration, uniform & snacks throughout the event. Please have registration in by January 30, 2006.
For more information: Please call Austin @ 949-307-2618 or info@chesspalace.com.

Parents, WE NEED VOLUNTEERs and Your SUPPORT!!
Please let us know if you can help =)

 

--------------------------------------------Registration form------------------------------------------

Name of Child:______________________ Grade:__________
School:______________________ Age:_________ Birthdate:__________
Address:_______________________________City:________________Zip:___________
Tel #: (Parent’s Cell)_________________
Email:___________________
Uniform Size: XL || L || M || S

(please check one):
__ Parent will drop @ CP by 9:15am. Chess Palace will carpool ride to the tournament site.
__ Parent will bring child @ site of Tournament,
__ Parents have to pick up their kids at event site. Other arrangements must be agreed individually.

In order to make sure we can accommodate the needs of our young chess champions, we need your help! Please let us know how you can help.
____volunteer supervise during in between round breaks (We will instruct you on details.)
____donate snacks, juice, etc. (drop off @ the club)
____other:_______________

USCF ($25/year): _______ Amount enclosed:_______

Parental waiver form:
I as parent/legal guardian of the child named above hereby release any liability and/or hold responsible Chess Palace, volunteers, and other staff members from any claims arising out of or relating to any injury that may result to my child while participating in this event. I agree to instruct my child to cooperate and conform to the directions and instructions of the instructors or any supervision in charge of the event and/or facility. Should it be necessary for my child to have medical treatment while participating in this event, I hereby give this supervisory personnel permission to use their judgment in obtaining medical services for my child. I give permission to the physician selected by such personnel to render medical treatment deemed necessary and appropriate by such physician(s). I also give permission to Chess Palace to publish and/or duplicate pictures/results/ scores taken from this event.

___________________________
Signature of Parents/ Legal Guardian
__________________
Relationship
________________
Print name above
__________________
Emergency Contact #:

(060219_team)