Fallon Chess 2016-17 Signup (Interest List)
Name? *
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Student e-mail? *
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Grade *
Chess Experience (check all that apply) *
Required
If US Chess-rated, please list
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Parent Name(s) *
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Parent E-mail? *
Your answer
Parent Phone/Cell Number (for emergency contact)
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Parent Willing to Volunteer? (check all that apply)
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