PALS Chess Club - Spring Session 2023

Cherry Creek Academy

Chess Club Registration Form

Grades 3-6 (to register for the Friday club for grades K-2, click here)

Please note: Students in grades 3-6 who can't make it on Mondays may register for Fridays instead. In that class, we will teach two separate group lessons and pair students based on age and level during game time.

CCA Chess Club Schedule: Mondays after school from 3:15 – 4:15 p.m.

Spring Session: 2/6, 2/13, 2/27, 3/6, 3/13, 3/27, 4/3, 4/10, 4/17, 4/24, 5/1, 5/8

Participant Information

First Name *

Last Name *

Grade *

Birthday 🛈 +

Level of Experience

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

Register a second child?

Yes

First Name *

Last Name *

Grade *

Birthday * 🛈 +

Level of Experience *

Register a third child?

Yes

First Name *

Last Name *

Grade *

Birthday * 🛈 +

Level of Experience *

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 following chess club.

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

Household / Adult Primary Contact

Relationship to Participants:

Mother

Father

Guardian

Other Other

First Name

Last Name

Address 1

Address 2

City

State

Zip

Email Address *

Phone

Alternate Phone

Please email me updates about my child's chess club, upcoming tournaments, and more chess-related news!

Registration *

Spring Session: $192

Spring Session (prorated): $128

Sibling Registration *

Spring session for two children: $384

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.