Home Registration Confirmation
Chess Camp

THANK YOU! 

Thank you for registering your child for Chess Adventure summer chess camp!!! In order to complete this registration, please print and sign the release form below. If you cannot print at this time, you may return to the release form by clicking on the Release Form link under the main Chess Adventure menu.

Once this form is printed and signed, please mail to Chess Adventure following the directions on the form!
 
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Chess Adventure Registration

 

After the online registration is completed, please mail this form and $50 payable to Chess Adventure to:

Albert Rine
    Chess Adventure Coordinator
5305 E. 4th Terrace
Tulsa, OK  74112

Release Form For:
Student’s name (First Last) ___________________________________________________________________________

In consideration of being allowed to participate in Chess Adventure meeting at Rejoice Christian School, Owasso:

I.                 I acknowledge that there are risks inherent in any activity including playing chess. I hereby agree to assume all of those risks.

II.                I agree to hold Rejoice Christian School, their employees, or any persons acting on their behalf, harmless for any accident or injuries that may occur while I am on church or school property. I further agree to hold Rejoice Christian School harmless for any loss or damage to property that may occur while I am on church or school property.

III.               I agree to hold Chess Adventure, its coordinators, or any persons acting on their behalf harmless for any accident or injuries that may occur while I am on church or school property. I further agree to hold Chess Adventure harmless for any loss or damage to property that may occur while I am on church or school property.

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Name of Participant (please print)                                                                  Name of Parent/Guardian (please print) 

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Signature of Parent/Guardian                                                                         Date

 

MEDICAL RELEASE

In case of emergency, I give my permission for my child to be treated by the appropriate medical personnel for any illness/accident when I cannot be reached. I understand that I am responsible for any charges resulting from medical treatment.  

Parent/Guardian Signature_________________________________________________ Date_____________________   

 

Chess Adventure has been able to keep the camp cost to a minimum because of the tremendous help from the parents. We rely on parents to assist throughout camp. If you are able to help in any way, please let us know!

 

Times:  ____Morning (9:00-12:30)     ____Before (12:30-1:00)     ____During (1:00-4:30)     ____ After (4:30-5:00)    

Days: _____Mon     _____Tues     _____Wed     _____ Thurs     _____Fri     _____Monday setup/registration (10:00-1:00) 

I am interested in helping by

_____ Setting up
_____ Helping in classrooms (Chess experience is not necessary, but if you have some please let us know!)
_____ Cleaning up
_____ Registration/check in on Monday
_____ Assisting with group activities
_____ Helping out in kitchen
_____ Anywhere!!!!

Additional Notes:

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INDIVIDUAL RELEASE AND HOLD-HARMLESS AGREEMENT