PALS Chess Club - Fall Session 2023

PRA Classical Homeschool

Chess Club Registration Form

Grades 4-8: Thursdays after school from 2:00 – 2:45 p.m.

Grades K-3: Thursdays after school from 2:45 – 3:30 p.m.*

Fall Dates: 8/31, 9/7, 9/14, 9/21, 10/5, 10/26, 11/2, 11/9, 11/16, 11/30, 12/7, 12/14

Students will be paired based on age and prior experience.

*Experienced K-3 players who know how the pieces move and understand basic strategy may opt to join the class for grades 4-8

Participant Information

First Name *

Last Name *

Grade *

Register another child?

Yes

First Name *

Last Name *

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 program following chess club.

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

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 *

Address *

City *

State *

Zip Code *

Email Address *

Phone number *

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Registration: *

Fall Session K-3 Class: $192

Fall Session 4-8 Class: $192

Sibling Registration: *

Fall Session for two children, both in the K-3 class: $384

Fall Session for two children, both in the 4-8 class: $384

Fall Session for two children, one in each class: $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.