Ohio Scholastic Chess Association

Membership Application/Renewal

 

You may submit your application using this form. If you prefer to print out a copy, click here and submit to OSCA Membership Secretary David Bills via email wc3@chess.com, fax 216-721-6805, or mail David Bills, 1322 Carol Dr, Kent, OH  44240.  No payment is required.

 

School Applying for or Renewing Membership 

 

School Name: A value is required.

 

School Address: A value is required.

 

City: A value is required.   State:   Zip: A value is required.

 

School Telephone:  A value is required.Invalid phone number.  Format: (xxx) xxx-xxxx


School Email:    A value is required.Invalid email format.

 

Repeat Email: A value is required.Invalid email format.

 

County in which building is located:   A value is required.     

 

School Web Site: A value is required.Invalid URL format.

 

USCF Affiliate ID, if any:

 

This school is a:

 

 

Appointed Representative (Must have access to email, may not concurrently represent multiple schools): 

 

Representative Name: A value is required.

 

Address: A value is required.

 

City: A value is required.   State:   Zip: A Zip Code is required.

 

Email (required):   A value is required.Invalid email format.   

 

Repeat Email:   A value is required.Invalid email format.

 

Telephone: A value is required.Invalid Phone format. Format: (xxx) xxx-xxxx

 

Connection with school chess program: A value is required.

 

Person Completing Application on Behalf of School:

 

Name: A value is required.

 

Connection with school chess program: A value is required.

 

Date Completed: A value is required.Invalid date format. Please enter: mm/dd/yy. Format: mm/dd/yy

 

Comments or Questions:

 

 

    

Rev 9-4-09

If you prefer to print out a membership application click here.
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