MASTER MIND CHESS CLUB REGISTRATION PAGE REGISTRATION: MASTERMIND CHESS CLUB Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. MasterMind Chess Club Central Christian Church Address: 3690 Cherry Creek South Drive Denver, CO 80209 Dates: Fall: 9/16, 9/23, 9/30, 10/7, 10/21, 10/28, 11/4, 11/11, 11/18, 12/2, 12/9, 12/16 Spring: 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/31, 4/7, 4/14, 4/21, 4/28, 5/5 Monday evenings from 5:30-8:00 pm Each 2 1/2 hour lesson includes: 20 minute Lesson taught by a National Master Competitive, tournament style game in 30 Game Analysis by a National Master Different packages to match your schedule and/or chess club needs We welcome chess players, K-12th grade, that are ready to take their learning to the next level and who are ready to explore their own personal strengths and weaknesses, learn new strategies, and build their chess knowledge with like-minded chess players. Participant Information Student's Name *FirstLastStudent's Current Grade *Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thStudent's Birthdate *School *How did you hear about our program? *WebsiteTournamentSchoolFacebookInstagramColorado ParentCHECOtherChess Experience Chess is my passion, and want a club that is more seriousRated player looking to gain rating pointsWanting a club to meet like minded chess players*check all that applyAdditional information you'd like to share about your chess 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.Additional Participant Information Student's NameFirstLastStudent's Current GradeKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thStudent's BirthdateChess Experience Chess is my passion, and want a club that is more seriousRated player looking to gain rating pointsWanting a club to meet like minded chess players*check all that applyAdditional information you'd like to share about your chess experience:Does your child have any medical issues or allergies that we should be aware of?Household/Adult Primary Contact Relationship to participant *MotherFatherGuardianGrandparentOtherYour Name *FirstLastPhone *Alternative PhoneEmail *Zip code *Email Opt-inPlease email me updates about chess camp, chess club, upcoming tournaments, and more chess-related news!MasterMind 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. Photo and Marketing Agreement By signing, this permits photos of my child, captured during regular MasterMind chess club activities, to be used solely in PALS news stories, the PALS website, or other PALS promotional materials. 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 MasterMind Chess Club Packages Gold Package: $799 All 24 sessions included! Come to all of the 2 1/2-hour sessions. Silver Package: $649 18 2 1/2-hour sessions included! Come to any of the dates that your schedule will allow. Bronze Package: $499 12 2 1/2-hour sessions included! Come to any of the dates that your schedule will allow. Fall Semester Only: 9/12, 9/16, 9/23, 9/30, 10/7, 10/21, 10/28, 11/4, 11/11, 11/18, 12/2, 12/9, 12/16 13 2 1/2-hour sessions Spring Semester Only: 1/13, 1/27, 2/3, 2/10, 2/24, 3/3, 3/10, 3/31, 4/7, 4/14, 4/21, 4/28, 5/5 13 2 1/2-hour sessions Drop-in Only: Pick your date and come to a 2 1/2-hour session. MasterMind Chess Club Registration What are you registering for: *Gold Package all 26 sessions: $849Silver Package 18 sessions: $699Bronze Package 13 sessions: $599Fall Session Only-13 sessions: $499:Spring Session Only-13 sessions: $499Drop-in Only: $75TESTING*Drop-in only, please include your specific date Sibling regisitration: *Gold Package all 26 sessions x 2: $1698Silver Package 18 sessions x 2: $1398Bronze Package 13 sessions x 2: $1198Fall Session Only-13 sessions x 2: $998Spring Session Only-13 sessions x 2: $998Drop-in Only x 2: $150*Drop-in only, please include your specific date *Sibling discount code: SIBFALL24 Date of drop in:*N/A if you are signing up for any of the other packages *Drop in must choose specific date*Enter coupon code here: Apply *Only one coupon allowed per form*Comments:Total$0.00Stripe Credit Card * Thank you for being part of our PALS family! 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