Adults

Juniors

Club Registration Form - Adult

Name

E-Mail

Phone Number

Address

Birth Date

Have a car and willing to assist in providing lifts

Occupation

Usual Working Location

IT Skills

Other Skills

Current or previous grade

Main online chess website used?

Interested in helping with the club?

Weekend availability

Membership Type

Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!

Club Registration Form - Junior

Junior's Name

Parent / Guardians's Name

Parent / Guardian's E-Mail

Parent / Guardian's Phone Number

Address

Juniors's Birth Date

Have a school team?

Experience so far

Other Interests?

Junior's privacy

Junior's Availability

Red or Blue

Would you like a Chesskidz login?

Anything else we need to be aware of: ie allergies etc?

Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!