INSTRUCTIONS FOR COMPLETING THE CHESS CLUB FORMS

1. Download and complete the three registration forms: enrollment, rules

and procedures and emergency form.
2. Send an email to academyofchessllc@yahoo.com and tell us how many
students are coming with their first names. (So we can prepare sufficient
first-day materials.)
3. Bring the forms with the monthly fee cash or checks made payable to:
Academy of Chess, LLC, to the first meeting.
 Scholastic Chess Club
(Sponsored by Academy of Chess, LLC)
ENROLLMENT FORM

Students Name ______________________________________

Address_______________________________________________________________________

Phone Number _____________________

School ____________________________________________________________

Grade ___________________

The following persons are authorized to pick up my child from chess club meetings:

__________________________________________ Relation ______________________

__________________________________________ Relation ______________________

MONTHLY FEE: $ 25
[ ] cash
[ ] check (make payable to Academy of Chess, LLC)
[ ] money order

Parents Signature _________________________________________

Students Signature ________________________________________

 (Sponsored by Academy of Chess, LLC)
RULES AND PROCEDURES

1] ATTENDANCE
The Regal Rooks chess club meets from 6:30 PM to 8:00 PM every Tuesday in the Parish Center across
from SS Peter and Paul Church, Hudson Road, Plains. Attendance will be taken and recorded at every
meeting.

2] PREPAREDNESS
Chess Club meetings in the first half of the year will include a short instruction period in chess theory
and tactics. The instruction will be accompanied by notes, illustrations and outlines that are distributed
to everyone. In order to maintain these notes efficiently, each member will be provided with a two-
pocket folder, which is to be brought to every club meeting.

3] BEHAVIOR
Chess is, by nature, a game of concentration and concentration requires quiet. In addition, as you can
appreciate, when instruction is given in a group setting, quiet is also required. Since all chess games
finish a different times ALL MEMBERS must have a school text book with them at the weekly
meetings, because walking around and talking are not allowed while even one chess match is in
progress. Members may only bring the above noted required items; no other toys or games and no
candy, gum or food is allowed.

4] MISCELLANEOUS
The parents (or adult brothers or sisters) who transport the members to the meeting are allowed to stay.
There are rooms available for them. The person picking up the student must come into the building for
security reasons.
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RETURN BOTTOM PORTION ONLY

I have received and read the chess club rules and procedures.

Parent's signature: _______________________________________________

Student's signature: ______________________________________________

DATE: __________________________
 (Sponsored by Academy of Chess, LLC)
Emergency Form

If there is a time when your child becomes ill during a Chess Club meeting and we need
to contact someone immediately, we need to have several contact names and numbers.
Also, during the winter months the weather becomes somewhat unpredictable and we
may have to cancel chess during or after school hours. Again, we will need phone
numbers to reach parents.

Please keep in mind that if there is an early dismissal or no school for any reason
on a Tuesday or whatever day a chess event is scheduled, chess will be
cancelled for that day. If your child has a severe allergy to anything and uses an
epipen, please notify Mr. Procopio immediately.

Please fill out the entire form:

Student Name - _____________________________________ Grade __________

Home School - ______________________________________
Home Address:_________________________________________________________
Home Phone #:______________________________________

Mothers Name:______________________________________
Work Phone #:_______________________________________
Cell Phone #_________________________________________
Fathers Name:_______________________________________
Work Phone #:________________________________________
Cell Phone #:_________________________________________

Email: ______________________________________________

List three additional sources to contact in case parents or guardian cannot be reached
in an emergency:

Name Relationship Address Phone #

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________