Earlsfiled Junior Chess Club Registration

Junior Chess Club - Earlsfield Library, SW18 3NY

Day	October	November	December
Monday	13, 20	3, 17, 24	1, 8

	Beginner/ Intermediate	All Levels
Monday	16:00-17:00	17:15-18:30

Junior Chess Club - Le Gothique

Address: Le Gothique, Royal Victoria Patriotic Building, John Archer Way, London, SW18 3SX
Club day: Thursdays

Day	November	December
Thursday	6, 13, 20, 27	4, 11

	All level	Advanced
Thursday	17:00-18:00	18:15-19:30

Player's Chess level*

Absolute BeginnerBeginnerIntermediateAdvanced
Club Date:*

MondayThursdayBoth
Player's Name*

First NameLast Name
Date Of Birth*

DayMonthYear
Gender*

BoyGirl
School Name*
School Year*
Parent's / Guardians Name*

First NameLast Name
Parent's / Guardians Email*
Parent's / Guardians Mobile*
Address*

Address

Street Address Line 2

CityProvince

Post Code
I give permission to take photographes or videos of my child. I grant full rights to use the images resulting from the photography/vedio filming, and any reproductions or adaptations of the imagesfor fundrising, publicity or other purposes to help achieve the group's aims
Photo / video*

YESNO
Any Health Information / Child Allergies*
Are you interested in private lessons?*

YesNo
Does your child has an online chess account ?*

Lichess.orgChess.comNone
Payment details:
- Account name: UK Chess Academy
- Sort code: 04-00-03
- Account number: 1518 7365
- Refence : Your Child's Full name
CLUB JOINING FEE*

£105 - Beginner 7 Classes£140 - Intermediate 7 Classes£0 Transfer from Tuesday/Thursday£180 - Monday & Thursday 13 sessions
UK Chess Academy established in 2011, FIDE endorsed Chess Academy in 2014
Should be Empty:

UK Chess Academy - Junior Chess Club