PALS Chess Club Fall Session

Fox Creek Elementary
PALS Chess Club Registration Form

Day and Time:  Mondays after school in the Library from 3:30 - 4:30 p.m.


Fall Session Dates:  8/27, 9/10, 9/17, 9/24, 10/1, 10/15, 10/22, 10/29, 11/5, 11/12, 11/26, 12/3

Participant Information

Register a second child?
Register a third child?

Household / Adult Primary Contact

Relationship to Participants: *
Registration: *
Registration Options: *
Registration Options: *
Photo Consent

I give permission for photos of my child, captured during regular chess club activities, to be used solely in news stories, the PALS website, or our e-newsletter. I understand that my child’s name will not be published on the Internet unless I am contacted and give my expressed permission.  I may revoke my consent at any time by sending an e-mail to

Emergency Medical Consent: *