Player Information

 

Fields marked with an asterisk * are required.

     
* Given Name        * Family Name
       Address
             *City   * Prov    Postal
          * Email * Telephone (incl. area code)  
        CGA ID
       
Rank
KGS Rank
       

Are you currently a member of a Go Club?

If yes, please list:

 

 
   
Please indicate the events you are interested in:  
Canadian Open           Division: 
Youth Tournament      Birthdate:
Pairs Tournament       Partner:   
Simultaneous Game (no extra charge)
9 x 9 Event
Lightning Tournament (30 min/player + byo yomi)
 
Citizenship:
I would like a billet if available:
Please describe how you will be travelling, including arrival/departure dates and times:
 
 
Payment Information
 
$ 75.00 - Entries received on or before Monday, August 7, 2006
$105.00 - Entries received after August 7, 2006
 

Banquet: $25.00 per person:

          How many?

 

Please send me an invoice for online credit card payment through PayPal.

I will pay by cheque.

Please make cheques payable to Sabaki Go Club and send by mail to:

Sabaki Go Club c/o Chuck Elliott
10828 - 122 Street NW
Edmonton, Alberta T5M 0A6