Clone of Chess Tournament Registration Form

Registration for the simul exhibition is now CLOSED. You may still fill out the form so you can participate if a player cancels.
Name of Participant

First NameLast Name
Birth Date

DayMonthYear
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
How did you hear about the simul exhibition (friend, social media, store flyer, etc.)?
Does the participant have a USCF, FIDE, Chess.com, or Lichess.org rating? This won't be necessary for registration, but it will help the chess master prepare for the event.
USCF rating (if available)
FIDE rating (if available)
Chess.com Id (if available)
Lichess.org Id (if available)
Do you have any requests or concerns?
I understand this is a charity fundraiser, and I pledge to donate to St. Jude via the QR code in the flyer as part of my participation in this event.
Should be Empty:

Registration for the simul exhibition is now CLOSED. You may still fill out the form so you can participate if a player cancels.