2025 Fernbank Chess Club Fall Registration Form

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Registration is Open

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 app (damir561@aol.com or @damir-studen) and please send as a friend or family through bank account only. No credit cards as we're trying to avoid any unnecessary fees to keep registration costs down.

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

Comments or anything we need to know about your child that is not on this form.

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