Calling all scholastic folks!

If you would like to connect with scholastic chess coaches and teachers across the USA, please complete the following form and click submit.

Note: Required Fields are shown in red. Our computer program will be unable to process your application without them.

USCF ID Number:	(If you are a USCF member)
Interest:	Select Coach Teacher Administrator Parent Professor Author Other
Title:	Select Ms. Mr. Miss Mrs. Dr. Prof. Jdge. Cpl. Sgt. Sfc. Lt. LCdr. Maj. Cdr. Col. Gen. Adm. Rev. Rab. Fr. Msg.
First Name:
Initial:
Last Name:
Street Address:
Apartment/etc:
City:
State/Providence
Zip/Postal Code:
Country:
Phone Number (home):
Phone Number (work):
Date of Birth:
E-Mail Address:
Gender	Male Female
Do you wish to keep your information confidential?	Yes  No

Note: If you have trouble submitting this form, please email it to scholastic@amchess.org.

Please allow 5-7 business days for processing.

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