Your Name: |
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Your AGA ID Number (if known): |
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Your AGA Rating (estimate if non-AGA): |
Kyu Dan |
Your email address: |
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Your telephone number: |
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Participation dates: |
I will attend all 4 days of the Tournament I will attend all 4 days and I am 21 years old or younger I will attend all 4 days and I am not playing in the tournament I will only attend on Saturday and Sunday. I will only attend on Saturday and Sunday and I am 21 years old or younger. I will only attend on Saturday and Sunday and I am not playing in the tournament. |
Vaccination status: |
No, I have not been vaccinated. Yes, I have been vaccinated against COVID-19. No, I have not been vaccinated but I am 12 years old or younger. |
Lodging: 16 shared cabins are available. 6 solo occupancy cabins are available. 4 of the 2 day cabins are available.
8 of the dormitory style beds are available. | 4 day cabin, shared for $15 per day, $60 all week 4 day cabin, not shared for $60 per day, $240 all week 2 day cabin, shared for $20.00 per day, $40.00 for 2 days 2 day cabin, not shared for $60.00 per day, $120.00 for 2 days 4 day dormitory style, shared for $10 per day, $40 all week 2 day dormitory style, shared for $10 per day, $20 for 2 days
No cabin requested |
Names of preferred roommates: |
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For cabin assignments: |
Male Female |
Youths: |
I am 18 years old or older I am younger than 18 years of age Name of accompanying adult if registrant is less than 18 years of age: |
T-shirt: |
Burning Board T-Shirt for $20.00, sizeXXL XL L M S No T-Shirt. |
Privacy Waiver: |
You have my permission to publish my name on this website as a participant. No, do not publish my name, and list me as Anonymous with my entry rating. |
Donation: |
I wish to make a donation to help the Triangle Go Group hold tournaments and other outreach events. Amount: |
State Park Rules: |
I agree to review and adhere to all Umstead State Park Rules, as described here. |
Questions/Comments: | |
Payment method: |
I will pay today using PayPal. I will mail a check which will arrive before June 5, 2023.
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