SP National Invitational Registration

2008 SUSAN POLGAR NATIONAL INVITATIONAL FOR GIRLS REGISTRATION FORM:

Rules and Conditions can be found here.

STATE AFFILIATE ID#: _________________________________________________

GIRLS CHAMPION / TOP RATED ____________________ USCF ID #: _____________

ADDRESS: ___________________________________________________________

CITY: _____________________________ STATE: _______ ZIP: ­­________________

PHONE: ( ) ______________________ E-MAIL:­______________________________

GIRLS CHAMPION ALTERNATE: _______________________ USCF ID #: __________

ADDRESS: ___________________________________________________________

CITY: ___________________________ STATE: _______ ZIP: ­­__________________

PHONE: ( ) _____________________ E-MAIL:­ ______________________________

___________________________________________________________________
Name of State official Title

PHONE: Home ( )_______________________ Work ( )_________________________

Email this certification form as quickly as possible.

Attention: Dewain Barber, Chairperson of the Polgar Committee – AmChessEq@aol.com