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PIE Primary Chess Club
PIE Primary Chess Club 2019
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Student's name
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Student's Grade
K/1
2
3
Other:
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Parent/Guardian Name
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Parent/Guardian Phone
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Parent/Guardian email address
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Parent/Guardian able to help? (Chess knowledge not required.)
yes
No
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I agree to pick up my child on club days in the Primary Auditorium at 4pm.
Yes
My child will be picked up by another adult. (send name to
j.konwinski@gmail.com
)
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