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Seminars & Camps 		The Chess Learning Center Logo

Registration Form .

Instructions for completing this Chess Learn Seminars & Camps Registration Form:

  1. If you leave this form for any reason, use your Web browser BACK BUTTON to return to this form.
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  2. Please complete ALL form fields, except where indicated by the following text: "(optional)".

You may also register by:
Telephone: 614-231-9591
e-mail: ChessMaster@ChessLearn.com

Chess Learn Student Profile:

1.1

Name:


First Name
Middle Name
Last Name
1.2

Date of Birth:


Month
Day

  Example: 1988
 Year .........................
1.3

Grade/Age/Gender:
1.4

School:


(Enter name of school here.)

Chess Learn Seminar Registration:

2.1
Please register my student for the Chess Learn "Fritz Software" Seminar

Morning Session (9:00 AM - 12:00 PM) - Columbus, Ohio 43227

Afternoon Session (1:00 PM - 4:00 PM) - Columbus, Ohio 43227

Choose one:

 

KnightMare Summer Chess Camp Registration:

2.2

Please register my student for the KnightMare Summer Chess Camp I
 Monday, June 9 - Friday, June 13, 2008 in Columbus, OH

Choose one:

 

2.3

Please register my student for the KnightMare Summer Chess Camp II
 Monday, June 16 - Friday, June 20, 2008 in Columbus, OH

Choose one:

2.4

Please register my student for the KnightMare Summer Chess Camp III
Monday, July 14 - Friday, July 18, 2008 in Columbus, OH

Choose one:

2.5

Please register my student for the KnightMare Summer All Star Camp
 Monday, August 11 - Friday, August 15, 2008 in Columbus, OH

Choose one:

Student's Contact Information:
3.1

Street Address (line 1):

(Residence Address)
3.2

Street Address (line 2):

3.3

City:    State:   Zip Code:

(Enter State name here, if it's not listed in the drop down menu, above.)
3.4

Home Telephone:

 Example: 123-456-7890
Parent or Guardian Contact Information:
4.1  
First Name
Middle Initial
Last Name
4.2

Day Telephone:

Example: 123-456-7890
4.3 Evening Telephone:

Example: 123-456-7890
4.4

e-mail Address:


Example: mia@hostname.com

United States Chess Federation (USCF) Information:

5.1

Is the student a USCF Member:

5.2

USCF ID#:

USCF Chess Rating:
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Comments/Questions?

Mail entries to:
6.1

The Chess Learning Center
Post Office Box 09726
Columbus, Ohio 43209-0726

Telephone: 614-231-9591
Fax: 614.231.9592
e-mail: ChessMaster@ChessLearn.com

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Seminars & Camps Registration Form
The Chess Learning Center Logo

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The Chess Learning Center
 Post Office Box 09726
Columbus, Ohio 43209-0726
Telephone: 614-231-9591  *  Fax: 614.231.9592
e-mail: Info@ChessLearn.com
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