Jr Falcons Chess Club

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Permission for my child to participate in the Falcon Ridge STEM Club.

Email *

Student name *

Grade *

Student teacher *

Parent name *

Home number *

Cell number *

Emergency Contact *

Emergency phone number *

I give permission for my student to participate in the Chess club on Wednesdays from 3:15-4:00. I understand that my signature includes permission for my child to appear in photographs, participate in assessments of progress, and participate in the club's activities. *

Yes

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