Student Registration

Basic Information

To be filled out by Student:

Student Agreement
Note to parents/guardians:

Please review the following points with your child. Make sure your child understands that by signing below he or she is agreeing to participate in all activities and cooperate with the underlying purpose of the program. We ask that parents/guardians talk with their children to be certain of their desire to attend and to participate fully before registering them.
Agreement for those who wish to attend:

Photo Release
By signing below, you are authorizing and consenting to the use of child's visual image by The Newark Chess Club for appropriate purposes, including but not limited to" still photography, videotape, electronic and print publications and websites. You give this consent with no claim for payment.



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