FERNDOWN JUNIOR CHESS – REGISTRATION FORM
1ST SESSION 10am to 11am ………………………………………….
2ND SESSION 11am to 12am…………………………………………
NAME OF PARENT/GUARDIAN……………………………………………………………
TELEPHONE No……………………………………………………………
EMAIL (please write clearly) ………………………………………………………………………….
NAME OF JUNIOR (Print) ………………………………………………………..
DOB…………………………………………………………………………….
SCHOOL AND YEAR GROUP………………………………………………………………….
*Do you, the parent or guardian, grant permission for occasional photographs to be used on our website, the Dorset Chess Newsletter, the Dorset Junior Chess Newsletter and any other local chess websites, mainly for promotional and reporting reasons only.
SIGNED………………………………………………………………………..