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Chess Club Registration Form: Yyyy / MM/ / DD

This document is a registration form for a chess club that collects personal information such as name, date of birth, address, and payment information. The form outlines various membership and tournament fees for the chess club and provincial chess association. It also provides information about how personal data will be collected and used in accordance with privacy legislation.

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398 views1 page

Chess Club Registration Form: Yyyy / MM/ / DD

This document is a registration form for a chess club that collects personal information such as name, date of birth, address, and payment information. The form outlines various membership and tournament fees for the chess club and provincial chess association. It also provides information about how personal data will be collected and used in accordance with privacy legislation.

Uploaded by

3187265
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Chess Club Registration Form Date Purchased:______\ _____\ _____

yyyy \ mm\ \ dd
Club Name:_______________________________________
Player Name______________________________________ Date of Birth: :______\ _____\ _____
Male / Female
yyyy \ mm\ \ dd
Complete Mailing Address_____________________________________________________________________
City________________________ Prov.________ Postal Code________________
E-mail Address__________________________________ Phone number_________________________

 CFC/ACA/Club Membership $___________ Notes:____________________________________________


 Club/ACA Membership only $___________ _________________________________________________
 CFC/ACA Membership only $___________ _________________________________________________
 Tournament Entry fee $___________
 _____________________ $___________ (ACA fee is $5 for adults and $3 for juniors 20 and under. Non CFC
 Total Collected $___________ club members pay $2 if adults and $1 if juniors. Fees included in total.)

Paid by: Cash/Cheque/Other _______ If under18 years of age Parent/Guardian Name____________________________

Personal information provided upon registration will be collected and protected under the Alberta Protection of Information and
Privacy Act. Collection is used to maintain records for enrolment in Alberta Chess Association and corresponding with registrants.
Personal information may be used or disclosed for other operational purposes that are consistent with the requirements of federal or
provincial legislation. Participant’s name and photographs may appear in Association’s newsletter and on the website. For further
information, please contact the Executive Director of the ACA Vladimir Pechenkin at 780.913.2775.

Signature of participant (guardian for under18):_________________ Fees Collected by:___________________

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