2009 Greater Jacksonville Agricultural Fair

Fall Fair Scholastic Chess Tournament

Date:  Saturday, November 14th -   Time 1:00 – 4:00 p.m.

Where:  The Jacksonville Fairgrounds

                Fair & Expo Center, Exhibit Hall "A"

                510 Fairgrounds Place; Jacksonville, FL 32202 

                Phone:  904-353-0535

Who:       K – 12th grade students

Entry Fee: $10.00  ( by check, payable in advance to “ mychessclub.us” and send to : MyChessClub.US / 10337 Agave Road / Jacksonville, FL 32246-8601 or pay online via PayPal )  Students admitted free from opening until 6PM.  Parents may order in advance, up to four (4) discounted entry tickets @ $4.00 each.  If requesting tickets, please include ticket payment with your check.

Deadline:  Registration due by Wednesday, November 11, 2009

                   Note: There is NO “ at-the-door” registration !

                  You must register in advance on-line or by mail.

Internet Registration Info: www.mychessclub.us

 

Name:                                                                            __________Grade:____              


Parent/Guardian* : (Print) ______________________________________________


Parent/Guardian* : (Signature) _________________________Date* : ___________


Address: ___________________________________________________________


City:____________ __________________________ State: _______Zip: _________

Phone: _________________________ E-mail: ___________________________


School*: ____________________________  School Phone: ___________________


School Address: _____________________________________________________

School Chess Contact Person: _______________________________________

 

(* = required information)