School Information

We'd like to get to know you and your interests in scholastic chess. Please take a moment to complete the following form so we can better assist you.

Please fill out and submit this form.

Your School

School Name: *

Address 1: *

Address 2:

City: *

State: *

Zipcode: *

Contact

Principal's Name: *

Primary Chess Contact: *

E-mail: *

Phone: *

Fax: *

Tell us more!

School Type: *

Private

Charter

Public

Home School

Other

Grades: *

k

1

2

3

4

5

6

7

8

9

10

11

12

What are your chess interests?: *

fieldtrips

curricular chess (regular day)

after-school chess

teacher training

chess coach training

chess tournaments

Mascot:

Team or club name:

Number of participants:

when or how often do you meet?:

How Did You Hear About Us?:

Tell us more:

List your faculty and staff who play chess or would participate in chess related activities.

Would you like to receive information about scholastic chess from CCSCSL?: *

Yes

No

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