Elisa Nelson THURSDAYS Intermediate ..... Spring 2025 Registration

Thursday 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 Coach Jack Brown

Jeff Hitchlock ... jhitchlock@yahoo.com

Intermediate Chess Club

Thursdays: (11 weeks)

Spring Session 2025: February 6th - April 24th

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

Chess Club is in the Science Room.

Club Price .... Thursdays $205
Student Name:*

First NameLast Name
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 Chess club students will be given a small gummy fruit snack. If you think your child will be hungry we encourage you to pack an extra snack for your child.
Has your child participate in a prior Elisa Nelson Chess Club ?*

YesNoNo, but my child was in another chess club before
Has your child played in a chess tournament?*

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-19 virus in 2 weeks and if we get sick we will not send our child to club*

YES, my child is healthy, and if my child is sick, I will not send them to chess club
Dismissal is at 4:15*

Parent/Guardian Pick-upR-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*

THURSDAYS Intermediate Club Registration$205.00

THURSDAY Intermediate Club Registration and USCF Chess Set$235.00

Total $0.00

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

Financial Disputes*

I understand that is I have a duplicate charge or transaction question, I will contact Alton Academy 4 Chess email arthur@safecs.com , And I am liable for "Dispute Charges" charged from my credit card.
Please Contact System Administrator

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

Please Contact System Administrator