PALS WINTER BREAK CHESS CAMP REGISTRATION PAGE Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.PALS Chess Academy Winter Break Chess Camp Chess Camp Details Central Christian Church Address: 3690 Cherry Creek South Drive Denver, CO 80209 December 30-January 3, 2025 PALS Winter Break Chess Camp Information: Week-long Camp (9 am - 4 pm) Includes: PALS Winter Chess Camp Book of Knowledge 17 dynamic, original chess lessons 16 team and individual competitions & games Blitz simul, campers vs. coaches Blindfold chess Greatest potential amount of PALS Camp Cash earned throughout the week (due to camper being there all 5 days) to spend at the PALS end-of-camp auction on Friday afternoon. PALS Camp T-Shirt PALS camp wrist band Certificate of Completion A special PALS camp appreciation gift Invitation to the PALS end-of-camp Auction & Chess Demonstration the last hour of camp on Friday Regular Price: $459 3-day Mini Camp (M-W or T-Th) (9 am - 4 pm) includes: 12 dynamic, original chess lessons 12 team and individual competitions & games PALS Camp Cash earned throughout their 3-day camp to spend at the end of camp at the PALS Auction on Friday afternoon PALS camp wrist band Invitation to the PALS end-of-Camp Auction & Chess Demonstration the last hour of camp on Friday Regular Price: $299 3-day Mini Camp (W-F) (9 am - 4 pm) includes: 10 dynamic, original chess lessons 12 team and individual competitions & games Blitz simul, campers vs. coaches PALS Camp Cash earned throughout their 3-day camp to spend at the end of camp at the PALS Auction on Friday afternoon. PALS camp wrist band Invitation to the PALS end-of-camp Auction & Chess Demonstration the last hour of camp on Friday Regular Price: $299 AM 1/2 day camp (9 am - Noon) includes: 9 dynamic, original chess lessons 8 team and individual competitions & games PALS Camp Cash earned throughout their camp to spend at the end of camp at the PALS Auction on Friday afternoon. PALS camp wrist band Invitation to the PALS end-of-camp Auction & Chess Demonstration the last hour of camp on Friday Regular Price: $249 PM 1/2-day camp (1 pm - 4 pm) includes: 8 dynamic, original chess lessons 9 team and individual competitions & games (including Blitz simul campers vs. coaches) PALS Camp Cash earned throughout their camp to spend at the end of camp at the PALS Auction on Friday afternoon. PALS camp wrist band Invitation to the PALS end-of-camp Auction & Chess Demonstration the last hour of camp on Friday Regular Price: $249 Drop-in only (9 am - 4 pm) includes: (only available Monday through Thursday) Chess lessons and activities planned that day $149 Participant Information Student's Name *FirstLastStudent's Current Grade *Kindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thStudent's Birthdate *School *How did you hear about our program? *WebsiteTournamentSchoolFacebookInstagramColorado ParentCHECOtherChess Experience Beginner: knows how the pieces move & learning how to playIntermediate: knows how to play & have been playing for a whileAdvanced: understands check mate & has tournament experienceAdditional 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 Beginner: knows how the pieces move & learning how to playIntermediate: knows how to play & have been playing for a whileAdvanced: understands check mate & has tournament experience*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 *Emergency contact & Authorization to pick up student Relationship to participant *MotherFatherGuardianGrandparentOtherYour Name *FirstLastPhone *Alternative PhoneEmail *Zipcode *Email Opt-inPlease email me updates about chess camp, chess club, upcoming tournaments, and more chess-related news!PALS Winter Break Chess Camp Registration I understand that I will be asked to electronically sign certain agreements in this online signing process. To provide my electronic signature, I will sign my name in the text box. By entering my name in the box, I agree that my electronic signature is the legal equivalent of my handwritten signature and that by affixing my electronic signature to the PALS Chess Academy LLC registration, I agree to be fully and legally bound by the provisions contained in each of these agreements. Signature Clear Signature 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 PALS Refund and Schedule Change Policies: PALS Chess Academy camp refund policy: *30 days' notice or more, in writing, prior to start date of a camp: 75% refund *14 days or more, in writing, prior to start of date of camp: 50% refund *Less than 14 days, in writing-50% credit towards future camp registration. PALS Chess Academy camp schedule change policy: Any changes to your original camp registration (day schedule, camp location, or date changes) *30 days or more, in writing, prior to start date of a camp: $25 fee per camp registration *14 days or more, in writing, prior to start date of a camp: $35 fee per camp registration *Less than 14 days, in writing, prior to start date of a camp: $50 fee per camp registration Photo and Marketing Agreement By signing, I have read and agree to the PALS Chess Academy Camp Refund and Schedule Change policy and I give permission for photos captured during regular chess camp 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 Winter Break Chess Camp Payment & Schedule: Registration:Week-long camp: $4593 day mini-camp M-W: $2993 day mini-camp T-Th: $2993 day mini-camp W-F: $2991/2 AM camp: $2491/2 PM camp: $249Drop-In Monday: $149Drop-In Tuesday: $149Drop-in Wednesday: $149Drop-in Thursday: $149Registration Sibling:Week-long camp: $9183 day mini-camp M-W: $5983 day mini-camp T-Th: $5983 day mini-camp W-F: $5981/2 AM camp: $4981/2 PM camp: $498Drop-In Monday: $298Drop-In Tuesday: $298Drop-in Wednesday: $298Drop-in Thursday: $298*Sibling discount coupon code: NWZS7EKN*Please use for sibling discount ONLY*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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