PALS Chess Club - Fall Session 2023

Denver Christian School

Chess Club Registration Form

Day and Time: Fridays after school from 3:00 - 4:00 p.m.

Fall Session: 9/8, 9/15, 9/22, 9/29, 10/6, 10/13, 10/27, 11/3

Winter Session: 1/12, 1/19, 1/26, 2/2, 2/9, 2/16, 2/23, 3/1

Spring Session: 3/15, 3/22, 4/5, 4/12, 4/19, 4/26, 5/3, 5/10

Open to grades K-8: Chess club will be taught in two groups according to grade and ability

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 following chess club.

No, my child will be picked up by a designated adult after 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 *

Sibling Registration (we offer a 10% discount when you enroll more than one child) *

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.