Toowoomba District Secondary School Individual Chess Championship

Player's First Name *

Player's Last Name *

Male or Female *

male

female

Date of Birth (DD/MM/YYYY Format) *

School Name *

Year Level *

Parent First Name *

Parent Last Name *

Phone *

Email *

If you have more than one child to enter, submit this form and then fill it out again for the second child, etc.

Payment *

Toowoomba District Secondary Individual Entry

AU$30