*First Name:
*Last Name:
*Email:
*Country of Representation: Note: If you are representing a country other than the United States, you will be required to present a valid passport on registration on the day of the competition.
*Gender: Male Female
*DOB (mm/dd/yyyy):
WCA ID:
*Main Events: 2x2x2 Speedsolving 3x3x3 Speedsolving 4x4x4 Speedsolving 5x5x5 Speedsolving 3x3x3 One-Handed 3x3x3 Blindfolded
Side Events: Rubik's Magic Megaminx Pyraminx
Comments: