HOMESCHOOL & afterschool CHESS CLUB: BOULDER REGISTRATION PAGE REGISTRATION: BOULDER HOMESCHOOL & afterschool CHESS CLUB Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Club Details Where: George Reynolds Library 3595 Table Mesa Dr. Boulder, CO 80305 Day and Time: Fridays from 2:45-3:45pm Dates: 3/29, 4/5, 4/12, 4/19, 4/26, 5/3, 5/10,5/17, 5/24, 5/31 Open to grades K-8 We welcome all beginner, intermediate and advanced chess players! How did you hear about PALS? *WebsiteTournamentSchoolFacebookInstagramCHECColorado ParentOtherParticipant Information Student's Name *FirstLastStudent's Current Grade *KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeStudent's Birthdate *Level 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.Does your child have any medical issues or allergies that we should be aware of? *Would you like to register another child? *YesNo; I will just register one child.If you're registering for multiple kids, please use discount code VTBU92DG to get a discount on your total fee.Additional Participant Information Student's NameFirstLastStudent's Current GradeKindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeStudent'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.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.PALS Homeschool & Afterschool Chess Club Boulder 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 PALS Homeschool & Afterschool Chess Club Boulder Spring 2024 What would you like to register for? *10-week session: $186A single drop-in session: $25Sibling Registration: *10-week session for 2 kiddos: $372Drop in for 2 kiddos: $50Apply VTBU92DG to get a discount on your total fee.If you are registering for multiple kids, please enter the coupon code here: Apply Drop in only? What date are you attending chess club?Total$0.00Stripe Credit Card * 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
