Registration Packet
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- Ursula Payne
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1 Keep this page for your records Registration Packet Medina Chess Club will BEGIN WEDNESDAY, SEPTEMBER 27th! WHEN Medina Chess Club meets every Wednesday after school from 12:15-1:25 (1:50 for our Advanced class). The season begins WEDNESDAY, SEPTEMBER 27th, immediately after school. We have 27 instructional sessions, with the last day of instruction on Wednesday, May 9 th, Our annual end-of-theyear party will be on Wednesday, May 16 th, We do not meet on snow days, the day before Thanksgiving, and school holidays. FEES One-time Annual Tuition. Financial assistance is available; please contact our principal for further information. $305 for the 1-hour classes: Kindergarten, Beginner, Advanced Beginner, and Intermediate $390 for the Advanced 1.5-hour class PLUS a $150 volunteer deposit per family PTA membership for at least one member of the family DEADLINES Registration forms will be accepted beginning at 8:10 a.m. on Wednesday, September 6 th, All registration forms and payment must be received by Wednesday, SEPTEMBER 13 th. We are accepting 24 kindergartners into this year s chess program. Kindergarten spots will be filled on a first-come, first-served basis. We are accepting 24 students to Advanced class. If there are more than 24 registered students, eligibility will be determined based on student's NWSRS chess rating and chess tournament history. Not sure your child will enjoy chess? Refunds for UNUSED chess tuition and volunteer deposit must be requested by Wednesday, October 11 th. PLAYING LEVEL The Medina Chess Club offers chess instruction to players of all experience levels. Here is some guidance for selecting a chess class for your child. Our coaches recommend that players take class with their peers because it creates a more socially balanced class. However, this philosophy is just a guideline. For example, if your young daughter is passionate about chess, she will be placed in a more advanced class if that is where she's most comfortable. If your fifth grade son wants to try chess for the first time, there's a spot for him in the club. Please chessclub@medinapta.org to coordinate placement for your child if the categories below don't fit his or her experience. We will work with our coaches to find the right class. The chess club reserves the right to make adjustments to class placements after registration is closed. Kindergarten all kindergartners regardless of chess playing experience Beginner Boys grades 1-2, zero to one year of chess experience Beginner Girls grades 1-2, zero to one year of chess experience Advanced Beginner Boys and Girls grades 2-3, two to three years of chess experience
2 Intermediate Boys and Girls grades 3-4, three to four years of chess experience Advanced Boys and Girls grades 4-5, four to six years of chess experience, geared towards players who has been competing in chess tournaments. Keep this page for your records PICK UP Our parent classroom volunteers are required to stay until the last child is picked up from class. Please respect our volunteers time by picking your child up promptly at 1:25 (pick up for Advanced class is 1:50). If you wish to permit your child to sign him/herself out from class and walk/bike home, you must complete the Medina Elementary Chess Club Permission Slip to Walk/Bike Home found on our website, medinapta.org, and return it to our Chess Club C0-Chairs. ABSENCES We take the safety of your children seriously. If your child will not be at chess, please prior to that day s chess class start time. We call families and emergency contacts to confirm the locations of missing students. SAVE THE DATES September 20th, 6:00 7:30 pm Family Chess Night at school September 27th First day of Chess Club December 8-10th National Scholastic K-12 Chess Championship Lake Buena Vista, Florida January 20th Medina All-City Tournament - At Medina Elementary March 24th Queen s Quest All-Girls Chess Tournament - At Medina Elementary April 21st Washington State Elementary Chess Championship Pasco, Washington May 11-13th National Elementary (K-6) Chess Championship Nashville, Tennessee COMPETITIVE TEAM Even if your child is an absolute beginner, or Kindergartner, he or she will have many opportunities to join our team at local tournaments and gain the skills to compete at the State and National Championships. Our coaches will prepare any student with the desire to learn. We are fortunate to have access to the best coaches for our kids, making this possible. You won t want to miss this opportunity!
3 Keep this page for your records Volunteer Requirements Our Chess Club has a long history of excellence through reliance on our dedicated volunteers. We could outsource our program, but instead we keep our club NON-PROFIT and parent-run. This enables us to handselect the top coaches in the country and keep our costs down. To encourage participation, each family is required to submit a $150 FULLY REFUNDABLE Volunteer Deposit with their chess registration form. If you meet your required volunteer commitment of 4 shifts, your deposit will be fully refunded at the end of the season. All volunteer positions can be found on the Medina Elementary PTA website at medinapta.org. Full time classroom volunteer receive free tuition for the school year. If interested, please contact chessclub@medinapta.org for more information. Each Family is required to volunteer a total of 4 shifts: o TWO shifts in the classroom, PLUS one TWO-HOUR shift at a Medinahosted chess tournament, OR o TWO two-hour shifts at a Medina-hosted chess tournament, OR o FOUR shifts in the classroom. Our hope is to fully refund 100% of these deposits! No Chess Experience Needed! Classroom volunteers will meet in the cafeteria at 12:15 pm. You will meet your class, help transport supplies to the classroom, help the chess coach maintain order in the class, and make sure the kids get signed out by their grown-up. You must stay with the students until the last child has been picked up by his or her parent or guardian. You are responsible for reserving your Chess Club volunteer slots. A volunteer schedule will be managed on the Medina PTA website. If you are unable to work the Wednesday classroom shifts, you may opt to work TWO two-hour shifts at the tournaments instead. If you sign up for a volunteer slot and cancel less than two weeks prior, you are responsible for replacing yourself. You must contact chessclub@medinapta.org with the name of your replacement. If you or your replacement does not show up, your volunteer deposit will be deducted by $50 per two hour tournament shift, and $50 per classroom shift. For liability insurance purposes, each volunteer MUST be a member of the Medina Elementary PTA. If you intend to have a babysitter or other caregiver fulfill your volunteer requirement, he/she must first become a PTA member. Please respect the chess coaches and our chess scholars by refraining from cell phone use (including texting and ) during your classroom volunteer shift. It is important that our classroom volunteers model respect for, and interest in, the sport of chess. Buy-Out: If you are unable to volunteer at Medina Chess Club, you may buy out your volunteer hours. The full season buy-out is $150. If you know you will not be able to volunteer at all this year and plan to forfeit your $150 deposit (aka "buy-out"), please let us know up front so we do not have to deal with "no shows" during the year.
4 Page 1 of 3 (Registration Form) CHESS CLUB Registration Form RETURN BOTH PAGES OF THIS REGISTRATION FORM TO THE FOLDER LABELED CHESS CLUB IN THE FRONT OFFICE AT SCHOOL. CHECKS PAYABLE TO MEDINA PTA. IF REGISTERING MULTIPLE CHILDREN, PLEASE COMPLETE ONE FORM PER FAMILY WITH A SINGLE CHECK. Name Teacher Grade Male/ Female T-Shirt Size (YXS, YS, YM, YL) Playing Level Tuition ($305 or $390 based on playing level) Refundable Volunteer Deposit: $150 Total: Parent Name: Parent Phone: Parent Name: Parent Phone: s from Chess Club will be sent to addresses used for PTA website. Emergency Contact, other than parent Relation: Emergency Contact Phone: Please check here if your child has a life-threatening allergy with Epi Pen prescription (for example: food, insect stings) Child s name: Allergen(s):
5 Page 2 of 3 (Registration Form) PARENT PLEDGE Chess is a sport that helps children develop mentally and socially through character development, critical thinking, patience, and problem solving. Medina Chess Club promotes a healthy learning and playing environment for children. If we feel students are being disruptive, we may ask them to leave. Initial: I will encourage my child to engage in good sportsmanship. I will respect my child s chess coach and encourage my child to respect his/her chess coach like he/she would a school teacher. If my child is disruptive in chess club, I will work with my child until the behavior is corrected. If my child is repeatedly disruptive, my child may be withdrawn from Chess Club at any time, but my unused tuition will be refunded.
6 Page 3 of 3 (Registration Form) CHESS CLUB Registration Form Volunteer Commitment (RETURN TO THE FOLDER LABELED CHESS CLUB IN THE FRONT OFFICE AT SCHOOL. CHECKS PAYABLE TO MEDINA PTA ) Initial each: I understand the Medina Chess Club Volunteer requirement for 4 shifts, which is a combination of classroom shifts and tournament shifts at a Medina-hosted chess tournament in either January or March, 2018.*** I understand that I am responsible for signing up for my volunteer slots on the medina PTA website and obtaining my own login information and purchasing PTA membership(s). If I can t make it to my volunteer slot, I will find a person to take my place. If I can t find a replacement and the slot goes unfilled, I will lose $50 per classroom shift and $50 per tournament shift and my year-end refund will reflect these deductions. My job is to help the coaches maintain a fun and safe classroom environment. I will get involved if any child gets unruly or needs help. During my classroom volunteer shift, I will demonstrate my respect for the chess coach, our chess scholars, and the sport of chess by refraining from cell phone use (including and texting). At the end of my volunteer session, I will stay with the students until the last child has been signed out by his/her parent or guardian. ***To volunteer at one of the two tournaments, times are flexible and include shopping for concessions well before the tournament, setting up the night before, working one of many jobs at the tournament or cleaning up afterwards. We ll find a place that will work for you! No THANKS! I want to buy-out my volunteer commitment now. Keep my $150. Signature Date Print name Child(ren) s name(s)
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