Print out and return information to the Masterminds

Membership Application & Questionnaire

Date: ______________

Name: __________________________________________________________

Address: __________________________________________________________

__________________________________________________________

__________________________________________________________

Home Phone Number: _______________________________________________

Date of Birth: ______________________________________________________

Email Address: _____________________________________________________

USCF Id, Exp & Rating: _____________________________________________

Occupation: ________________________________________________________

Questionnaire

1. What are you looking for in a chess club?

2. How long have you been playing chess?

3. Are you, or have you been a member of the United States Chess Federation (USCF)? If yes, what is/was your rating?

4. What are your strengths and weaknesses as a chess player?

5. What are some of your other interest?

6. Are you interested in competing in chess tournaments? Why or why not?