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| Your Full Name: |
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| Country: |
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| Have you ever learned chess? |
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| Do you have a chess rating? |
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| If yes - please specify your rating: |
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| What level of group would you like to join? |
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| How would you like to be contacted for the evaluation meeting? |
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| Your E-Mail Address: |
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| Phone number |
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| Skype nickname |
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| MSN nickname |
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Which day(s) of week do you prefer to be contacted for evaluation? |
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| What time do you prefer to be contacted for evaluation? |
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