Please complete form below & return to school office by September 13th:

Please Register_____________________________________________________________ for Chess Club.

(Students name)

 

Grade: ________ Room: _____________ Teacher __________________________________
Please circle of the these two options: Wednesday mornings, or, Thursday afternoons.
Parents Name (s): ___________________________________ Home Phone: ______________________

Address ____________________________________________ Work Phone: _______________________

Email: ______________________________________________ Cell Phone: _______________________

Our chess club fee is $120 for the fall twelve week session.
Please make you check out to Chess Education Partners.
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South Loop School | 1212 S Plymouth Ct. | Chicago | IL | 60605