2020 Spring Chess Club Registration
Please contact shp1vp@gmail.com if you have any questions about this survey.
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Email *
Student First Name *
Student Last Name *
Student Grade in 2019-2020 *
Teacher's Name *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Emergency contact name and phone number (during class) *
List any health or other concerns here.
A copy of your responses will be emailed to the address you provided.
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