PALS Chess Club - Fall Session 2023

Timber Trail Elementary

Chess Club Registration Form

Day and Time: Friday mornings before school from 7:30 - 8:30 a.m.

Fall Session: 9/1, 9/8, 9/15, 9/29, 10/6, 10/13, 10/27, 11/10, 11/17, 12/1, 12/8, 12/15

Grades K-5: Beginners are welcome to join! Students will be paired based on age and experience.

Participant Information

First Name *

Last Name *

Student's Birthday * 🛈 +

Grade *

Level of Experience *

Register a second child?

Yes

First Name

Last Name

Student's Birthday 🛈 +

Grade

Does your child need to return to the school's aftercare program following chess club? *

Yes, please take my child to the school's aftercare program following chess club.

No, my child will be picked up by a designated adult following chess club.

Level of Experience

Does your child have any medical issues or allergies that we should be aware of? *

Household / Adult Primary Contact

Relationship to Participants: *

Mother

Father

Guardian

Other Other

First Name *

Last Name *

Email Address *

Zip *

Phone *

Alternate Phone

Registration *

Fall (12 week) Session: $192

Sibling Registration *

Fall (12 week) session for two children: $384

Sign up for the free PALS newsletter for updates about chess club, tournaments, events and special offers!

Emergency Medical Consent: *

In the event of an emergency requiring medical attention for my child, I understand that PALS Chess instructors will make every effort to contact me. However, if I cannot be reached, I give permission for a licensed physician or medical treatment center to administer emergency medical care if needed.