WestLake Chess Club ........ Fall 2023 Registration

Chess Club Registration

1 Student Registration
Alton Academy 4 Chess

11Years Teaching Chess at WESTLAKE!!!

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

Lead Teaching Coaches- Krista, Arthur, and Joshua Alton

Plus: 2 Student Coaches

Arthur Alton ... arthur@safecs.com

Krista Alton ... kristaalton@yahoo.com

Fall Session: Sept 15th - Dec 1st

Fridays: (11 Weeks)

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

Chess Club is in the Cafeteria & Science Room.

Club Price .... Fall Session

Fridays $215.00
Student Name:*

First NameLast Name
Gender*

MaleFemalePrefer Not to Say
School Grade:*
Teacher's Name:*
Parent Name:*

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

Street Address

Street Address Line 2

CityState / 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?*

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

YesNo
Any extra information the coaches should know about your child? blank
Dismissal .... Club is over at 4:15*

To Parents or GuardianStars 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 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*

Fridays ... Club Registration$215.00

Start Date: September 15th

Fridays ... Club Registration and USCF Chess Set$245.00

Start Date: September 15th

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. 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