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