PALS Chess Club - Spring Session 2024

The Manning School

Chess Club Registration Form

____________________________________

Date and Time: Tuesday after school from 3:30-4:30 p.m. Location: N110

Session dates: 1/23, 1/30, 2/6, 2/13, 2/20, 2/27, 3/5, 3/12, 3/26, 4/2, 4/9, 4/16, 4/23, 4/30, 5/7, 5/14

Grades 6th-8th

We welcome everyone! Coaches will teach beginner, intermediate, and advanced lessons.

Participant Information

First Name *

Last Name *

Grade

Student's Birthday 🛈 +

Level of Experience

Register a second child?

Yes

First Name

Last Name

Grade

Student's Birthday 🛈 +

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 *

Phone *

Alternate Phone

Zip

The Manning Chess Club 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 *

clear

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

Registration for the 16 week spring session: *

Participant one: $256

Sibling: $256

Processing Fee *

Current Total:

$0.00

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.