Chess Club Registration Form

Fees may vary based on schools and after school programs. We offer a discount for siblings and paying in advance for the year (please contact us to give you those discounts). Payments must be made prior to the start of enrollment.  In addition, we will offer heavy-duty, traveling chess sets, which we highly encourage for your children to order if you do not already have a chess set to practice with at home.  Fees are shown below and on-line payments are accepted.

Child's Name *
Child's Name
Parent's Name *
Parent's Name
Parent's Phone *
Parent's Phone
Chess fees may vary based on schools and after school programs. If your school isn't listed separately, select Other Schools.
Model Release *
We are requesting advance permission to use your child's image, voice, and name for our website. Their likeness is used solely for showcasing Chess2Children's growth. Compensation will not be provided.
Waiver Agreement *
I waive any right to claim damages against instructors, volunteers and staff participating in this joint venture in the event of accident, injury or loss of personal items. I agree to pay fee's in advance for my child’s enrollment. Chess2Children reserves the right to cancel the class, with full refund, if minimum number of students is not met.
Payment Options *