Chess Registration 2021 — Joy in Learning

Due to Covid, this class is planning to meet outside.

Register for the Fall Session

Tuesdays, September 14, 21, 28 & October 5, 12, 19, 26, 2021
3:30-5:00 pm
Led by Stewart Hall

Ages 12 on up, all levels, no fee
Deadline to register: September 10, 2021

Parents have 3 choices: 1) Drop off child(ren) for a class. 2) Be a participant in a class. 3) Be a helper in a class.

Please complete the form below for each person you are registering.

This form is for (check one)

If you are registering yourself and a child, please fill out this form for yourself first, continue to the next page, and then return to this form when prompted.

Parent/Adult

Child (10+ years old)

Parent/Adult

First Name

Last Name

Child (10+ years old)

First Name

Last Name

Email

Phone

(###)

###

####

Do we have permission to use your or your child's picture for JIL purposes?

Yes

No

List any allergies or write "none."

Will you need child care?

Yes

No

If you need child care, write first name of child and age below: