US Chess Center

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U.S. Churchill Road Registration Form
August 6 - 10, 2012
9:00am - 3:00pm

Camper's Name*


Camper's Address*


City*


State*


Zip*


After Care Program

Name of School*

Grade

Parent Guardian Name*


Home Telephone*


Email*


Your email will only be used for communications regarding chess camp.




Once we have processed the registration form and accompanying payment, we will e-mail you a confirmation letter with an emergency care form that the camper needs to bring on the first day of camp.