AMERICAN ACADEMY LINCOLN MEADOWS CHESS CLUB REGISTRATION PAGE REGISTRATION: AMERICAN ACADEMY LINCOLN MEADOWS CHESS CLUB Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Fall 2024 Chess Club Details: American Academy Lincoln Meadows 10260 Twenty Mile Rd, Parker, CO 80134 Wednesday afternoons from 3:45-4:45pm Room 121 Dates: 9/11, 9/18, 9/25, 10/2, 10/9, 10/23, 10/30, 11/6, 11/13, 11/20, 12/4, 12/11 Open to grades K-8 We welcome all beginner, intermediate and advanced chess players! Participant Information Student's Name *FirstLastStudent's Current Grade *K1st2nd3rd4th5th6th7th8thStudent's Birthdate *Chess: *Beginner: Doesn't know how the pieces move.Intermediate: Knows how the pieces move and can play a full game.Advanced: Understands checkmate. 2+ years of playing experience.Returning to chess club? *Yes, I'm returning!No, but I've been in chess club before!No, I've never been in chess club before!Does your child have any medical issues or allergies that we should be aware of? *After chess club: *Needs to go to the school's after care programParent Pick upHas permission to walk homeSometimes parent pick up/sometimes school's aftercareWould you like to register another child? *YesNo; I will just register one child.Additional Participant Information Student's NameFirstLastStudent's Current GradeK1st2nd3rd4th5th6th7th8thStudent's BirthdateLevel of ExperienceBeginner: Doesn't know how the pieces move.Intermediate: Knows how the pieces move and can play a full game.Advanced: Understands checkmate. 2+ years of playing experience.Returning to chess club? Yes, I'm returning!No, but I've been in chess club before!No, I've never been in chess club before!Does your child have any medical issues or allergies that we should be aware of?Household/Adult Primary Contact Your Name *FirstLastRelationship to participant(s)MotherFatherGuardianGrandparentOtherPhone *Alternative PhoneEmail *Email Opt-inPlease email me updates about my child's chess club, upcoming tournaments, and more chess-related news!Interested in Volunteering?Yes! I am interested in volunteering at this PALS event and/or others. Please contact me with additional opportunities.PALS is ALWAYS looking out for volunteers. If you're interested in learning more about our volunteer opportunities, please select this box above and we will be in touch.American Academy Lincoln Meadows 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. Signature * Clear Signature Emergency Medical Consent In the event of an emergency requiring medical attention for my child/children, 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. Signature * Clear Signature Payment AA Lincoln Meadows Fall 2024 registration: *12 week session: $223Fall 2024 registration siblings: *2 kiddos for the 12 week session: $4463 kiddos for the 12 week session: $669Sibling discount code: VTBU92DG Coupon Code: Apply *Only one coupon allowed per form*Total$0.00Stripe Credit Card *Comments or additional information for PALS?Layout Thank you for being part of our PALS family! Submit FollowFollowFollowFollow Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail Address *MessageSubmit
