Churchill Chess Club Fundraiser Registration
Monday, February 23rd from 6:30-8:30pm
Student Name
First Name
Last Name
Student Grade
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Student Chess Experience
Please Select
Does not know how to play
Knows how to play
Is an experienced player
Parent Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Register
Should be Empty: