2017 US Amateur Team West Championship

Take a shot at a National Championship Title! Or just come & have FUN!
2017 US Amateur Team West Championship Feb 18/19 –20 @ Santa Clara Conven4on Center 5001 Great America Pkwy, Santa Clara, CA 95054
Time control & Schedule: On-­‐site Registra4on: Sat: 9:30-­‐10:30a, Sun 8:30-­‐9a 3-­‐day schedule: Time Control: 40/120 SD/30;d5 Rounds: Sat/Sun 11:30a, 5:30p, Mon 10a, 3:30p 2-­‐day schedule: Time Control: Rd1-­‐3: G/61;d5 Rounds: Sun 10a, 12:30p, 2:50p, 5:30p Mon 10a, 3:30p Kids’ Side Event: Sat 2/13 G/30;d5 On-­‐site reg: 8:30-­‐9a Rounds: 10a, 11:30a, 1p, 2:30p, 4:15p More Info: BayAreaChess.com/usatw Register Online: BayAreaChess.com/my/usatw E: [email protected] T: 408-­‐409-­‐6596 Prizes Commemora4ve Clocks to Top 4 players & Trophies to Teams: Top overall 3, Top u2000, Top u1800, u1600, u1400 and u1200. Trophies to each player in top team in: Female, College, High School, Elementary, Family, and Club. & Other special prizes. USCF membership required, Jan 17 supplement & TD discre4on to place players accurately. 4-­‐player team raJng req: max 2199.99 ra4ng average, max 1000 ra4ng difference btw players. Cut and keep top portion for your records! I cer4fy that I (and/or my legal guardian) have understood and agreed to the terms at www.bayareachess.com/events/terms Select Tournament: [ ] Player($64) [ ] Team($249) [ ] Blitz($14) [ ] Kids($43) [ ] Kids Team($159) Select Sched: [ ] 2-­‐day (2/14-­‐15) [ ] 3-­‐day (2/13-­‐15) [ ] Kids’ Event (2/13) Late fee: Registering [ ] 2/9-­‐11: +$10 [ ] 2/12 & onsite: [ ] Player +$20 [ ] Team +$80 USCF Membership Required! Please join/renew easily: [ ]u12 $17 [ ]u16 $22 [ ]u24 $26 [ ] 25+ $40 Amount enclosed: _____________
Player 1 Name: Player 2 Name: Player 3 Name: Player 4 Name: Player 5 Name: Primary Address:
Email: _____________ Team Name: Addi4onal Requests:
USCF ID: __ Ra4ng: DOB: _______ USCF ID: __Ra4ng: DOB: _______ _______ USCF ID: __Ra4ng: DOB: _______ _______ USCF ID: __Ra4ng: DOB: _______ _______ USCF ID: __Ra4ng: DOB: _______ ______
_______ ____________ Home Phone: ____________Cell Phone:
_______ _____Category: [ Industry [ ]College [ ]HS [ ]ES [ ]Family [ ]Female [ ]Club ____________________ Make checks payable to Bay Area Chess, 2050 Concourse Drive, Unit #42, San Jose, CA 95131