SUCCESS THROUGH CHESS! After School Chess Program Form a Liberty Middle School Team! Eligibility: Open to students grades 6-8, beginners - advanced players. Dates: Mondays, Oct. 27 - Nov. 17 (class is ongoing throughout the school year) Time: 3:30 - 4:30 PM Location: Camas District Office, JDZ cafeteria Fee: $55 for this session Class code: #1048-14 American Chess Institute’s Success through Chess After School Program www.SuccessThroughChess.com (two minute video)    Program Founded by Two-Time National Champion, Andrew Svehaug Youth-friendly- exciting program (Successthroughchess.com/home/whychess/) Goal of Club: To instruct in principles that will help the student improve in chess, as well as develop life skills that will aid the student in academics, sports, arts, and future success. All the while, a fun and exciting environment will be maintained. By registering you give permission for your child to be photographed/videotaped for promoting chess. Material Covered: We have a comprehensive program appropriate for all students, who will progress at their own rate. Instruction includes the critical principles, tactics, and strategies as well as “Success Secrets” applicable both to academics and to life! Questions? Contact the American Chess Institute at (360) 254-4519, or by email at alan@AmericanChessInstitute.com or Camas Community Education at (360)833-5544. Return bottom portion  -----------------------------------------------------------------------------------------------------------------------------------------------------------------------Mail registration form and check to: Camas Community Education – 841 NE 22nd Avenue, Camas, WA 98607 360-833-5544 Student’s Name: Gender: M F School: Grade: Parent’s name: Address: City/Zip: Home Phone: # Cell # Work # Email Address: Who will pick your child up from class? Code #1048-14 Class Title Fee Success through Chess - Middle School $ $ Total Enclosed: $ has my permission to participate in this CCE activity. I understand the Community Education program does not provide insurance. I certify that my child is physically and mentally able to participate in this activity. I, intending to be legally bound, waive and release my rights and claims for damages I may accrue against any and all sponsors of this activity. I understand my child’s image may be used for promotional purposes for CCE and/or the CSD. Parent/Guardian Signature: Date: