Saturday, September 13, 2008, 10:30am to 3:00pm
Alameda High School Cafeteria
2201 Encinal Avenue
Alameda, California 94501
Name: ________________________________________________________
Address: ______________________________________________________
City, State, ZIP: _________________________________________________
Phone: ________________________________________________________
Email: ________________________________________________________
Will you be under age 18 ______ or over age 65 ______ at the time of the tournament?
Have you competed in a crossword tournament before? Yes / No
Do you have a physical limitation that might require special accommodation?
If so, please describe in detail what accommodation you might require.
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Privacy policy: Your name, address, email and phone are collected for tournament registration purposes only and will NEVER be sold, rented, given or transferred to any person or entity.
Please check here ____ if you do NOT want to join the tournament Yahoo! group/email list (http://games.groups.yahoo.com/group/westcoastcrosswordtournament/).
If you are a registered student at Alameda High School, registration is free! Please include a photocopy of your student ID card.
The California Dictionary Project is a 501(c)(3) registered charity, so your registration fee is fully tax-deductible. Your canceled check will serve as your receipt.
The registration fee is $15 in advance, or $20 if you register the morning of the event.
Please make checks payable to the California Dictionary Project and mail this form and your check to:
Andrew Laurence
2709 Calhoun St.
Alameda, CA 94501
If you have any questions, email andrew@whizzochocolatecompany.com or call 510-764-4687.