Community Montessori Chess Club Winter 2022-23 Registration

Community Montessori Chess Club Registration

1 Student Registration
Alton Academy 4 Chess

10 Years Teaching Chess in Schools

Chess Makes Kids Smart, We Make it Fun !!!

Lead Teaching Coaches- Jeff Hitchlock and Arthur Alton

Arthur Alton ... arthur@safecs.com

Jeff Hitchlock ... jhitchlock@yahoo.com

Winter Session: December 7th and December 14th

(until Holiday Break) January 18th - March 8th (until Spring Break)

Wednesdays: (10 Weeks)

Time: 3:50 - 5:00 Pick-Up at Extended Day ...

Chess Club is in the Lower Elementary classroom.

Club Price .... Winter Session

Wednesdays $180
Student Name:*

First Name Last Name
School Grade:*
Teacher's Name:*
Parent Name:*

First Name Last Name
Parent Email:*
Parent Phone Number:*
Parent Address:*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
At each club Community Montessori School will provide an after school snack.
Has your child participated in a chess club before?*

YesNo
Has your child played in a chess tournament before?*

YesNo
Any extra information the coaches should know about your child? blank
Health Policy:

- No sharing of drinks or food is allowed

- Some players wear masks, but masks are optional
PARENT HEALTH WAIVER - Our family home has not experienced the Covid in the past 2 weeks and if we get sick we will not send our child to club*

YES, my child is healthy, and if my child becomes sick, I will not send him/her to Chess Club.
I give permission for my student to be photographed in group pictures and allow their picture to be included in the Community Montessori School Chess Club Web Page on Alton4Chess.com*

Yes, photos are OKNo, I prefer NOT
Students should play chess at home and use the proper equipment.

We sell regulation United States Chess Federation (USCF) chess sets - chess board, pieces, and matching carrying bag.

Retail price $40.00

Special Club Price $30.00

Chess sets are for home & tournament use, purchace is not required, but highly suggested.

Club Registration - 1 student*

Wednesdays ... Club Registration$180.00

Start Date: December 7th

Wednesdays ... Club Registration and USCF Chess Set$210.00

Start Date: December 7th

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Financial Disputes:*

I understand that if I have any duplicate charges, I will contact Alton Academy 4 Chess FIRST at arthur@safecs.com
After Submission:

You will recieve a personal text message from Coach Krista confirming this registration. Please allow up to 72 hours for Krista to get the message out to you. I try to confirm as soon as possible, but life gets busy. Thank you for your understanding!
Please Contact System Administrator

Please Contact Tournament Director - Krista Alton @ kristaalton@yahoo.com
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Community Montessori Chess Club Registration

Please Contact System Administrator