Contact Information (please fill out form separately
for each student)
Student
Grade
Address
Age
City/Zip
School
Phone
Please Select Preferred Class
Parent
Beginner
Email
Intermediate
Alt Contact
Advanced
Alt Phone
Comments
(optional)
Release of Liability:
In consideration of your accepting this registration I hereby agree to
indemnify and hold harmless The Chess Center, its officers, agents or
employees from any liability, claim or action for damages resulting from or in
any way arising out of participation in the program by the person registered.
Note:
Students are eligible to represent Chess Center in scholastic tournaments and
are entitled to discounts at our Summer Chess Camps. And, you'll make great
chess friends!
Do you have questions? Please call Al or Silvia at 727 235-6300 or 949 422-1186,
