(720) 504-8765 info@palschess.com

DEER CREEK MIDDLE SCHOOL CHESS CLUB

REGISTRATION PAGE

REGISTRATION: DEER CREEK MIDDLE SCHOOL CHESS CLUB

 

Please enable JavaScript in your browser to complete this form.

9201 West Columbine Drive

Littleton, CO 80128

Chess Club Details:

Monday afternoons from 4:10-5:10 pm 

Spring dates: 
Quarter 3: 1/27, 2/3, 2/10, 2/24, 3/3, 3/10
(no club-2/17)
Quarter 4: 3/31, 4/7, 4/14, 4/21, 4/28, 5/5

Open to grades 6-8

We welcome all beginner, intermediate and advanced chess players!

Participant Information

Student's Name
Chess Knowledge: (check all that apply)
After chess club:
Would you like to register another child?

Household/Adult Primary Contact

Emergency Contact & Authorization to Pick up

Contact #1:
Relationship to participant(s)
Contact #2:
Contact #2 Relationship to participant(s):
Email Opt-in
Interested in Volunteering?
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.

Deer Creek Middle School
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.

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.

Clear Signature

Deer Creek Middle School Chess Club Payment

Spring 2025 chess club registration:
*Only one coupon allowed per form*

*In the event of a natural disaster, school cancellation due to weather, building issue, or other emergency, PALS Chess Academy will do their best to reschedule the chess club on a date that is available and approved by the school district and the school. PALS Chess Academy does not guarantee this can occur.

$0.00

Thank you for being part of the PALS Family!

Please enable JavaScript in your browser to complete this form.
Name