Banyan Creek Elementary
Please fill in your details in the form below and complete payment via the PayPal link to be automatically registered for your school's chess program.
Payment Information:
- All parents must register their students online using this form before the start of the first club.
- Payment needs to be made during registration or the registration form will be considered invalid.
- Full payment is required before the start of the first club
- Parents of Title 1 students and students who receive free and reduced lunch may email
palmbeachchessinfo@gmail.com
to inquire about other payment options.
* Required
Student Full Name
*
Your answer
Current Grade
*
Your answer
Parent/Guardian Full Name
*
Your answer
Parent/Guardian Email Address
Your answer
Primary Emergency Contact Number
*
Your answer
Secondary Emergency Contact Number
*
Your answer
If Applicable: Please list any health or social information we need to know about your child. Examples include diagnosed allergies or health conditions.
Your answer
Does your child have a USCF (United States Chess Federation) rating and if so, what is it?
*
Your answer
Which Session are you registering your child for?
*
Choose
Session I
Session II
Session III
Session IV
Terms of Service
*
I agree to the <
https://www.palmbeachchess.com/palmbeachchesstermsofservice
>
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
