Scotts Ridge Elementary School chess program Q3 Registration
Tuesdays January 28 to March 25
Student's Information
Student Name
*
First Name
Last Name
Grade Level
*
Please Select
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Home Room or Teacher
*
Full name of school
*
Parent's / Guardian's Information
Parent's Name
*
First Name
Last Name
Emergency Phone Number
*
Please enter a valid phone number.
E-mail
*
example@example.com
Additional Comments
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