Fernbank Chess Club Spring 2026 Registration Form

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Students will learn from National Master Damir Studen, 2009 and 2013 Georgia

Chess Champion and other qualified coaches who led Fernbank to the K-3 State

Championship in 2015. Students will have at least 30 minutes of play every class

and 30 minutes of instruction.

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Please complete this form, one for each child. Cost is $200 per child for 10 weeks. To pay, use Paypal (DamirStuden@gmail.com) or Venmo @damir-studen) and please send as a friend and not goods/services.

Child's Name (please complete one form for each child): *

Grade: *

Teacher Name *

Chess experience/Class Days *

Advanced: Was in Damir's group last year or has played in many tournaments.

Beginner: fairly new at chess, but he/she knows how all the pieces move.

Intermediate, some chess experience

Other:

Required

Previous Chess Club member *

Parent/Emergency Contact names *

Parent/Emergency Contact phone #s *

Parent/Guardian email address to use (maximum of 2 emails please). *

I've paid (or will pay w/i 24 hours) Coach Damir: *

Venmo @damir-studen (Please send as friend and not goods/services)

Paypal DamirStuden@gmail.com (please pay as a friend/family so there is no fee)

Zelle 404-556-4398

Pick up/Aftercare *

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