Click here to use the alternate registration option through the Google Form Student Information Student Full Name * Age * Grade * 23456789101112 School Name * City / State Email * Phone Number* Parent / Guardian Name * Parent Phone Number Parent / Guardian Email Student Experience How familiar is the student with chess? Select an optionBeginnerIntermediateAdvanced Has the student participated in a chess club? Select an optionYesNo Preferred class format Select an optionOnline (Microsoft Teams)In-person The regular class schedule is Friday 6-8 pm/ Saturday 2-4 pm est. Are you available at this time? Select an optionYes available regularlyMay be/occasional conflictsNo (please share your preferred time in next question) If not available, please share your preferred day/ time Additional information that would help support the student Permissions (Required) I understand this is a free volunteer-run program. I give permission for my child to participate in online sessions. Allow use of class photos/ screen shots for non profit awareness. How did you hear about us? School / Community postSocial MediaFriend / FamilyOtherPrefer not to say Any questions or comments?
