PALS Chess Club - Fall Session 2023

Our Lady of Lourdes
South Campus
Chess Club Registration Form
Spring Session Full Days:  Fridays after school from 3:00-4:00 pm
  1/19, 2/9, 2/16, 3/1, 4/12, 5/3
Spring Session Early Release:  Fridays after school from 12:30-1:30 pm
     3/15, 4/19, 5/10
Grades K-8th:  Students will be paired based on age and prior experience

Participant Information

Register a second child? ($20 sibling discount)
Register a third child? ($40 sibling discount)
Does your child need to return to the school's aftercare program following chess club? *

Household / Adult Primary Contact

Relationship to Participants: *

Our Lady of Lourdes South Campus Registration

By signing up for PALS Chess Academy LLC chess clubs, tournaments, or camps, the participant, (or parent/guardian if a minor), in this activity acknowledges the risks associated with the activity and agrees to hold PALS Chess Academy LLC, The McConnell family and any other employees or volunteers regarding chess clubs, tournaments, and camps  harmless in the event of any damages or injury that may arise.

By providing this electronic signature and participating in, or authorizing participation in, PALS Chess Academy LLC chess clubs, tournaments, or camps in any way whatsoever, you hereby release and hold harmless forever PALS Chess Academy LLC, its instructors, employees, agents, and consultants from any and all liability, for any claim, demand, injury, expense, damage, action or cause of action arising out of or connected with the services or facilities of these entities, including those arising from acts of active or passive negligence. 

Electronic Signature *
Registration: *
Sibling Registration: *
Sibling Registration: *
Emergency Medical Consent *