Torres Chess and Music Academy, Inc.

Online Registration

To apply online, please fill in this form first. Once completed please continue to the Online Registration page.

http://chessandmusic.com/onlineregistration/

Tournament Application

Name of Tournament(required)

Name of Child(required)

Name of Parent(required)

Address(required)

City and CALIFORNIA Zip(required)

Date of Birth(required)

Grade(required)

School(required)

USCF ID Number(required)

Experation Date(required)

USCF Rating(required)

Check your rating at
http://main.uschess.org/component/option,com_wrapper/Itemid,181/

Phone Number(required)

E-mail(required)

Section(required)

Please check only one if a ½ Pt. Bye is requested in:

NA in Final Round

Parrental Consent(required)

By entering my name above,I request that my child, named above be permitted to participate in this Chess event. I fully understand that it is my (or my representative’s) responsibility for supervising my child during this event. Should it be necessary for my child to have medical treatment while participating in this event, I hereby give the supervisory personnel permission to use their judgment in obtaining medical services for my child, and I give permission to the physician selected by such personnel to render medical treatment deemed necessary and appropriate. I, as parent or representative of this child, hereby release, discharge, indemnify, and hold harmless the TCAMA, the school district, the school, Chris Torres and their employees, volunteers or agents, and/or staff, from any claims arising out of, or relating to, any injury that may result to said individual while participating in this event. I, as a parent or representative of this child, hereby waive any rights to the taking and use of photographs, (including posting on BakersfieldChess.com, ChessandMusic.com or any promotional material) or any other recorded material, including video and audio taken during this chess tournament. I, as a parent or representative of this child, hereby consent to the publication of this child’s individual tournament results/scores.