REGISTRATION FORM

NAME            ___________________________________________

ADDRESS      ___________________________________________

CITY               ___________________________________________

USCF ID         ___________________________________________

RATING         ___________________________________________

SECTION (PICK ONE):

OPEN              U2000             U1600             U1200

SEND REGISTRATION TO:

WILLIAM WRIGHT

19121 WHEELERS LN

STRONGSVILLE OH 44149

ON SITE REGISTRATION: 8-9AM