SCHOLASTIC TEAM ENTRY FORM* - SIXTH ANNUAL UNK CHESS CLASSIC

School Name:___________________________________________________________

School Type:  Elementary School____, Middle School_____, High School____, 

Team Members:  All team members must be students from the indicated school.

 Name:_________________________________________________

Address:__________________________________________________________

e-mail:____________________________________________________________

Name:___________________________________________________

Address:__________________________________________________________

e-mail:____________________________________________________________

Name:___________________________________________________

Address:__________________________________________________________

e-mail____________________________________________________________

*Team entrants in the Fifth Annual UNK Chess Classic automatically become individual entrants in the tournament, and, as such, are eligible for individual prizes.

Send team entry to:  Randall Heckman, Department of Mathematics and Statistics, 2034 Founders Hall, University of Nebraska at Kearney, Kearney, NE 68849 or e-mail to heckmanr@unk.edu (entry fee for e-mail entries must be received on or before Jan 30)

Make checks payable to Kearney Area Chess Club.