VVCM PTO sponsors:

CHESS LESSONS @ OUR SCHOOL About Folsom Chess Academy: We teach chess –tips, tricks, patterns, tactics, openings, middle games, end gams and all

Next session begins on Feb 7

Very POPULAR after-school class in several elementary schools in El Dorado Hills. Very limited number of slots available. Slots are available on first-come first-serve basis only. Please register now to reserve your spot.

Class Details: Wednesdays, from 1:15-2:15 PM (7 weeks) Location: E1

Fees: Session 1: $90 Sessions 1,2: $180

Session 1: 2/7, 2/14, 2/21, 2/28, 3/7, 3/14, 3/21 Session 2: 4/11, 4/18, 4/25, 5/2, 5/9, 5/16, 5/23

Parent/Guardian Name:

Cell Phone:

Email: Home Address:

Alternate Phone:

Child Name:

Birthdate:

Grade:

After Chess Class my child will: ( ) Be picked by a guardian ( ) Self-sign-out for parking lot pick-up ( ) Go to afterschool care Does your child know basic chess moves? ( ) Yes ( ) No

Payment Options (Use one of the options below) 1. Turn in the enrollment form along with check to your school’s office (Check payable to Folsom Chess Academy) 2. Turn in enrollment form with credit card details: Name on the card: ______________________________________Card Number: _______________________________________ Expiry date (mm/yy): _____________ 3 digit CVV (on the back of the card):_____________ Billing Zip Code:________________ Amount to charge: _____________ (1 session: $90, 2 sessions: $180) 3. Register and pay online with PayPal (Go to http://tinyurl.com/ChessFee08 ) By signing below, you acknowledge that you have read, understood, and you agree with our "Terms and Conditions" listed at our website, https://folsomchessacademy.wixsite.com/terms including that you waive any right to claim against Folsom Chess Academy owners, staff, and/or teachers in the event of an accident, injury, or loss of personal items. You also authorize us to process your payment using the payment mode (check, credit card, or PayPal) you requested. A copy of our "Terms and Conditions" will also be emailed to you in confirmation email. Seats are available on a first-come-first-serve basis, and processing of payment does not guarantee a seat. If a seat is not available for any reason, a refund will be issued in 7 business days.

Signature: Classes taught by Folsom Chess Academy

Name:

Date: Questions: Please email us at [email protected]