MGA Chess Club Registration Please enable JavaScript in your browser to complete this form.Registration for: *MGA Chess Club - Fall 2022 An afternoon, recreational chess club from 3-4:15pm on Tuesdays (grades 1st-6th) meeting once a week for $45/month. Whether you want to know a bishop from a knight or you’re working on the Sicilian, Chess Club is the place to improve your game. Run by International Chess Champion Val Martin! Combine with our Choir that meets the same day from 4:30 - 5:15pm and only pay $75/month for both! Student and Parent InformationStudent's Name *FirstLastBirthday *Student's Current Age *Student's Current Grade Level *How did you hear about us?Parent/Guardian Name *FirstLastParent/Guardian Phone *Parent/Guardian Email *Home AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePayment Agreement *I agree to the Payment Agreement listed below:Pay in full - $135 With Choir - $225 Pay Monthly: $45 - Due by October 1, 2022 $45 - Due by November 1, 2022 $45 - Due by December 1, 2022 With Choir: $75 - Due by October 1, 2022 $75 - Due by November 1, 2022 $75 - Due by December 1, 2022 *A late fee of $25 will be added to any payments over 3 days late. **By submitting my child's application for registration, I agree to the terms above.Media Release Agreement *I agree to the Media Release Agreement listed below:-I grant permission to M.A.K.E. Greatness Academy, hereinafter known as the “Media”, to use my image (photographs and/or video) for use in Media publications including: Videos, Emails, Marketing Brochures, Newsletters, General Publications, Social Media, Websites. -I hereby waive any right to inspect or approve the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known to me or unknown, and I waive any right to royalties or other compensation arising from or related to the use of the image. -I have read this release and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to agreeing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.First Payment Due at Registration:Pay in Full - $ 135.00Pay in Full with Choir - $ 225.00October 1st Payment - $ 45.00With Choir October 1st Payment - $ 75.00Already paid with Choir Registration - $ 0.00Total$ 0.00Square *CardName on CardSubmit