PALS SUMMER CHESS CAMP AT PLATTE RIVER ACADEMY REGISTRATION PAGE Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. PALS Summer Chess Camp Platte River Academy LAST CHANCE FOR DISCOUNT PRICING! Camp Details: Address: 4085 Lark Sparrow St., Highlands Ranch, CO 80126 Dates: July 15-19, 2024 Open to grades K-8 We welcome all beginner, intermediate and advanced chess players! Platte River Academy Camp Schedule: *Full Day: 9-4pm1/2 day morning: 9-noon1/2 day afternoon: 1-4pm3-Day minicamp Monday-Wednesday: 9-4pm3-Day minicamp Tuesday-Thursday: 9-4pm3-Day minicamp Wednesday-Friday: 9-4pmDrop in only?Yes*Full day onlyDrop in schedule:Monday: 9-4pmTuesday: 9-4pmWednesday: 9-4pmThursday: 9-4pmFriday: 9-4pmParticipant Information Student's Name *FirstLastStudent's Current Grade *KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSixth GradeSeventh GradeEighth GradeStudent's Birthdate *School? *Level of Experience *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.How did you hear about our camp? *WebsiteTournamentSchoolFacebookInstagramColorado ParentCHECOtherIs this your first chess camp?YesNoCamp T-Shirt Size *SmallMediumLargeExtra LargeDoes 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 BirthdateSchool?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?Is this your first chess camp? YesNoCamp T-Shirt Size SmallMediumLargeExtra LargeHousehold/Adult Primary Contact Relationship to participantMotherFatherGuardianGrandparentOtherYour Name *FirstLastPhone *Alternative PhoneEmail *Email Opt-inPlease email me updates about chess camp, chess club, upcoming tournaments, and more chess-related news!PALS Summer Chess Camp Platte River Academy 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 chess camp 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 Last chance for discounted pricing! Payment PALS Summer Chess Camp 2024 Platte River Academy What would you like to register for? *Full Day: $3993-day minicamp M-W: $2493-day minicamp T-TH: $2493-day minicamp W-F: $2491/2 day morning: $2191/2 day afternoon: $219Sibling Registration *Full day: $7983-day minicamp M-W: $4983-day minicamp T-TH: $4983-day minicamp W-F: $4981/2 day morning: $4381/2 day afternoon: $438PALS Summer Platte River Academy 2024 at sibling discount code: VTBU92DG Drop in: *Monday: $99Tuesday: $99Wednesday: $99Thursday: $99Friday: $99If signing up kiddos for different schedules, please give details below:If you are registering for multiple kids, please enter the coupon code here: Apply Comments:Total$0.00Stripe Credit Card * Thank you for being part of our PALS family! 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