Elisa Nelson MONDAYS Beginners ..... Spring 2025 Registration

Monday Chess Club Registration

1 Student Registration
Alton Academy 4 Chess

11 Years Teaching Chess in Schools

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

Lead Teaching Coaches- Jeff Hitchlock and Junior Coaches Henry Kim, and Jack Brown

Jeff Hitchlock ... jhitchlock@yahoo.com

BEGINNERS Chess Club

Mondays: (9 Weeks)

Spring Session: February 3rd - April 14th

Time: 3:00 - 4:15 Pick-Up at Front Entrance

Chess Club is in the Science Room.

Club Price .... Mondays $170
Student Name:*

First NameLast Name
Teacher's Name:*
School Grade:*
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 Chess club the instructor will provide a small gummy fruit snack for each student. If you think your child will need an additioal snack we encourage you to pack one for your child.
Has your child participated in a chess club before?*

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

YesNo
Dismissal is at 4:15

Parent/Guardian Pick-upR-Club
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-19 virus 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 he/she 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 Elisa Nelson Elementary 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*

Mondays ... BEGGINERS Club Registration$170.00

Mondays ... BEGINNERS Club Registration and USCF Chess Set$200.00

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 for an additional confirmation of this registration. She will 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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Monday Chess Club Registration

Please Contact System Administrator