WestLake Chess Club Winter 2023 Registration

Chess Club Registration

1 Student Registration
Alton Academy 4 Chess

10 Years Teaching Chess at WESTLAKE!!!

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

Lead Teaching Coaches- Krista, Arthur and Joshua Alton

Arthur Alton ... arthur@safecs.com

Krista Alton ... kristaalton@yahoo.com

Winter Session: January 13th - March 10th (until Spring Break)

Fridays: (9 Weeks)

Class Time: 3:00 - 4:15 Pick-Up in Cafeteria

Chess Club is in the Cafeteria & Science Room.

Club Price .... Winter Session

Fridays $175.00
Student Name: *

First Name Last Name
Gender *

Male Female Prefer Not to Say
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
Snacks:

At each Westlake Chess Club we will provide a small fruit gummy snack. If you feel your child will need an additional snack we encourage you to pack a small extra snack for students to eat. NOTE: Please pack small non-messy snack, we want the students to focus on learning Chess and NOT focused on their snack.
Has your child participated in a Chess club before? *

Yes No
Has your child played in a Chess tournament before? *

Yes No
Any extra information the coaches should know about your child? blank
Dismissal .... Club is over at 4:15 *

To Parents or Guardian Stars and Comets
I give permission for my student to be photographed in group pictures and allow their picture to be included in the Westlake Christian School Chess Club Web Page on Alton4Chess.com *

Yes, photos are OK No, 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 *

Fridays ... Club Registration $ 175.00

Start Date: January 13th

Fridays ... Club Registration and USCF Chess Set $ 205.00

Start Date: January 13th

Total $ 0.00

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

Financual 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 for an additional confirmation of this registration. Please allow up to 72 hours for Krista to get the messege out to you. She will 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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Chess Club Registration

Please Contact System Administrator