Pike Road Elementary Chess Class Registration
Please fill out all the below questions in order to register your child. I'll let you know I've received it along with sending you final instructions soon! Thank you, and I'm looking forward to coaching your kid(s)!!
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DETAILS
Student Name (One Name per Form) *
Student Grade *
Contact Email *
Emergency Phone Number *
Second Emergency Phone Number *
Will Your Child Attend EPIC or be Picked up After Chess? *
RASBERRY CHESS LLC MEDIA PERMISSIONS DISCLAIMER: You agree that by joining this Rasberry Chess LLC class that your child will enter an area where photography, audio, and video recording may occur. By your child's appearance and participation in this class - or any other Rasberry Chess LLC event (including but not limited to tournaments, clubs, and camps) - you grant Rasberry Chess LLC permission to utilize your child's name, image, likeness, voice, and statements in any live or recorded manner made in connection with, or at, any of these events for all purposes without further authorization from, or compensation to, you . *
How Will You Pay? *
Where Will You Pay? *
When Will You Pay? *
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