CHESSPLAYER CAMPS Inquiries to: chess64@comcast.net WGM Elena and IM GEORGI ORLOV CHESS CAMP

REGISTRATION FORM Chess Star Co. P.O.Box 27806 Seattle, WA 98165-2806, phone & fax 206/363-6511

Camp (Date and School):________________________________________________

Email for confirmation and updates______________________________________________________

NAME(s)_______________________________________________________________Grade in 2007/2008___________

RATING__________SCHOOL__________________________Phone_____________________________________

ENCLOSED __________(please see schedule. $10 off each entry for the siblings) family) if postmarked before deadline

Cancellation Fee $25 for refunds. No refunds 3 days prior to the camp except medical emergency.

Please make checks payable to Chess Star Co.

CREDIT CARD INFORMATION: (VISA____ or MASTER CARD_____)

Card Number ____________________________Exp Date_________________Name______________________________

ADDRESS______________________________________________________CITY________________________STATE____ZIP__________

Payment on-line http://www.chessplayer.com/camps.htm