Simul Entry Form
First and Last Name:
Phone Number:
Date of Birth:
Address:
Email address:
Please choose one of the players:
GM Zhao Zong Yuan
Moulthun Ly
IM James Morris
FM Emma Guo
Daniel Lapitan
Abbie Kanagarajah
Leteisha Simmonds
Melanie Karibasic
Chess Rating:ACF, Junior or FIDE:
Comments: