* required fields
Name (Last, First, MI)*:
Rank (By Name, i.e., Captain)*:
Email Address*:
Military Address (Organization, Unit, State, P.O., APO, and Zip Code):
Major Army Command (MACOM)*:
Duty Telephone No. (Autovon/Commercial)*:
Record of Significant Chess Activity During the Last Two Years
(Please list Date, Place, Event, & Standing Place):
U.S. Chess Federation Membership Card Identification Number & State of Registration:
U.S. Chess Federation Rating:
Date of Rating:
Date & Location of Last U.S. Chess Federation Tournament:
I
participate in an installation qualifying tournament.
Installation Identification (if applicable):
I
participate in a MACOM qualifying tournament.
MACOM Identification (if applicable):
Current Duty Assignment (Clerk, Medic, etc.)*:
Recreation will contact you via email or land line as a back up to be sure your application has arrived successfully. If you do not hear back from Recreation, please contact john.osullivan1@us.army.mil or linda.ezernieks@us.army.mil or call Civ: 703-681-7754/5373 or DSN 761-7754/5373 or fax 703-681-7249.