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Register a new K-12 Player


This form is to register a K-12 player who later can be submitted to USCF by club/center using voucher.
Referred By :
Title (Examples: Dr, Lt) :
First Name and Middle Name :
Last Name :
Suffix Name (Examples: Jr, III) :
Gender :
Date Of Birth :      
Address (Line 1) :
Address (Line 2) :
City :
State/Zip Code :  
Email :
Phone :
Registered By
(your name/parent/coach/TD)
: