Toowoomba District Primary Invitational 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 *

Suburb *

To make payment, make sure you tick the box. Don't change the quantity. 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 Primary Invitational Entry

AU$30