Online Entry Form

Entry Form
Family Name		+– Please enter $ amounts (see entry fees below) –+
		+– Please enter $ amounts (see entry fees below) –+
Given Name (for one or more family members)	Date of Birth (dd/mm/yy)	Summer Tournaments WAITING LISTS #		NSW Girls Championships		NSW Junior Championships
Given Name (for one or more family members)	Date of Birth (dd/mm/yy)	One-Day	Two-Day	Under 18	Under 12	Under 18	Under 12
1.		$	$	$	$	$	$
2.		$	$	$	$	$	$
3.		$	$	$	$	$	$
4.		$	$	$	$	$	$
		# WAITING LISTS (Summer One-Day and Two-Day Tournaments) The number of entries already received has reached the limit allowed for the venue under the government's COVID-19 restrictions. Subsequent entries will be added to a waiting list and may be accepted if the restrictions are relaxed or other entrants decide not to play.

Entry Fees	$	Entry Fees Summer Tournaments: One-Day $20, Two-Day $35 NSW Girls Championships: $35 NSW Junior Championships (Under 18): $55 NSW Junior Championships (Under 12): $45
Membership of the NSW Junior Chess League is a prerequisite for our holiday activities.
Membership Fee (if due)	$	_________________________ Membership Fees	Renewal and annual	New from May*	New from August*
Renewals are due in January each year. If you are a new member or if any details have changed please complete the membership form below.		Membership______________ Family Membership Country Membership Country Family Membership Associate Membership	$24 $30 $16 $20 $20	$20 $26 $13 $17 $17	$16 $22 $10 $14 $14
Late Fee (if any)	$	* The discounted membership fees for new members joining late in the year are for that year's membership, ending in December. Late Fees Entered but not paid before the entry closing date: $10 (per family) Neither entered nor paid before the entry closing date: $20 (per family) The entry closing date is three days before the event. We endeavour to keep our fees as low as possible. Your donation would be appreciated.
Total of above amounts	$
Donation	$
Total paid (or to be paid)	$
Email address

Membership Application/Renewal Form *Please complete if you are a new member or if details have changed – otherwise leave blank*
Family Name
Given Name	Sex (M/F)	Date of Birth
School
Additional Family Members (brothers and sisters – for family membership)
Given Name	Sex (M/F)	Date of Birth
School
Given Name	Sex (M/F)	Date of Birth
School
Given Name	Sex (M/F)	Date of Birth
School

Address
Suburb			Postcode
Phone
Mobile (or parent's contact phone during tournaments)
Email Address

Payment Options

(1) Internet banking (or direct deposit at any branch of the Commonwealth Bank)
Pay to: BSB: 062 028 (Commonwealth Bank, Town Hall branch)

Account Number: 00904158 (NSW Junior Chess League)

It is important that you include a transaction description with the payment to enable us to identify it – we suggest

that this be the player's name (surname and given name or initials). Note that long descriptions will be truncated

(how much depends on the bank – it can be to as little as 14 characters).

For example, JOHN SMITH or CHEN X AND Y

Transaction description to be included with your payment

(2) Cheque (made payable to NSW Junior Chess League)

Date posted

Please write family and given names on reverse of cheque
Post to NSW Junior Chess League, 2 Northcote Avenue, Killara NSW 2071

Comments/questions (optional)

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Please check carefully before sending
No confirmation is sent – please assume that your entry has been received.