Holy Family Academy Chess Registration 21-22
Under the direction of Dr. John Worden IV, Holy Family Academy Chess Club saw its inception several years ago at Sacred Heart School. It included students from both Sacred Heart School and Holy Rosary School until they merged to become Holy Family Academy. At times students from other schools have been involved as well.  

The club meets once a month and includes students from grades K-8.  Students are instructed in the basics of chess and learn basic tactics and strategy through lessons, games and puzzles. The club holds a tournament every year which is open to all local schools and is an event enjoyed by up to 40 student competitors.

Chess club will meet on the first Thursday every month starting November 4th 2021 immediately following student dismissal and will end at approximately 4:00 pm.

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Student Name *
Grade *
Address *
Emergency Contact Name *
Emergency Contact Phone Number *
Emergency Contact Email *
Chess Club Dismissal (4pm) *
My Child has permission to go home with the following people from Chess Club. *
Payment- the registration fee for Chess Club will be $25.00 for 1 child, $10 for a second child, no fee for a third child.
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T-Shirt Size *
Covid Masking Policy: ALL children will be required to wear a mask while attending chess club. Please make sure you send your child with a mask and small hand sanitizer bottle. *
Parent Signature                                                                                                                                                             WAIVER OF LIABILITY We, the undersigned, herby certify that I (we) am (are) the parents or legal guardians of the student. I hereby give permission for the staff at Holy Family Academy to seek treatment during school extracurricular activities and authorize appropriate medical attention and treatment to be covered under the student’s insurance policy. I/We, the undersigned, for ourselves, our heirs, our executor and administrator, waiver, release, and forever discharge Holy Family Academy and its staff, officers, agents, employees, representatives, successors, and assigns from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, personal injury or property damage that may be sustained or occur during participation in student athletic activities or while at school. *
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Holy Family Academy- Gardner, MA
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