Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Club Membership *

I am a current financial member of the Burnie Chess Club

I am a current financial member of the Devonport Chess Club

I am a current financial member of the Hobart Chess Club

I am a current financial member of the Launceston Chess Club

I am a current individual financial member of the Tasmanian Chess Association

I am not a Tasmanian Resident

None of the above: I understand and acknowledge that a TCA Membership Levy will apply to my entry

Payment Options *

Cash - Pay on the day

Credit Card - Pay on the day

Bank Transfer

Consent *

I am over 18

(CONSENT) I, the legal parent or guardian of the entrant, give permission to the Tasmanian Chess Association (Inc.), and by extension any affiliated club, permission to capture digital images of the entrant for the express purpose of reporting on and promoting chess events.

(DO NOT CONSENT) I, the legal parent or guardian of the entrant, do not give permission to the Tasmanian Chess Association (Inc.), and by extension any affiliated club, permission to capture digital images of the entrant for the express purpose of reporting on and promoting chess events.

Checkbox *

You can view and download the Tasmanian Chess Association's Privacy Policy here

I have read, understood, and accept the terms of the Tasmanian Chess Association's Privacy Policy.