Chess Lions Bertrange: Enrollment form for chess courses 2023-2024
Please fill in a separate form for each family member wishing to attend a course.
Upon completion you are going to receive the payment details from the club.
The chess courses will take place in Bertrange at Maison Schauwenbuerg on the 2nd floor.
Beginners junior: Sunday 10:00- 10:55
Beginners to Intermediate : Saturday 14:00-14:55 and Sunday 11:00 - 11:55 (new)
Intermediate: Saturday 15:00-15:55 
Advanced: Saturday 16:00-17:30
Open Day: Friday 18:45-19:45

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Email *
url: http://www.chess-lions.lu     email: info@chess-lions.lu
Venue  - Salle de jeu
Address: Maison Schauwenbuerg CR163, L-8079 Bertrange, Luxembourg. Entrance on the right, 2nd floor.
Find us on google map --> https://goo.gl/maps/VSiiun32QwsJpstN6
Maison Schauwenbuerg
Consent to GDPR data processing - GDPR agreement - Consentement au traitement des données GDPR - GDPR agreement *
Chess player data - Données des joueurs
Last Name - Nom de famille *
First Name - Prénom(s) *
Address - Adresse
Number and Street - Numéro et rue *
example: 10 High Street
Code postal *
example: L-1000
City - Localité *
Country - Pays *
Telephone(s) - Téléphone(s) *
Birth date - Date de naissance *
MM
/
DD
/
YYYY
Luxembourg social security number - Numéro sécurité sociale
Place of birth - Lieu de naissance *
Country of birth - Pays de naissance *
Citizenship - Nationalité *
Sex - Sexe *
Elo national
for new licence leave it blank
Elo FIDE
for new licence leave it blank
Training hours   - Heures entrainements
Please select the class you want to enroll in -  Veuillez sélectionner la classe à laquelle vous souhaitez vous inscrire
Clear selection
Any questions? - Des questions?
A copy of your responses will be emailed to the address you provided.
Submit
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