Register for School Chess Club Details of Club School Ark Priory Ashmole Atwood Primary Academy Barrow Hill Bell Lane Blackheath Prep Bonneygrove Campsbourne Chestnut Lane Christ Church (Sloane Square) Deansbrook Dollis Infants Dollis Junior Eastcourt Godstowe Prep Grange Park Prep Great Missenden C of E Henrietta Barnett Hertsmere Highgate Primary Hyde Heath King's Ely Long Furlong Maltman's Green Maple Walk Mead Road Infant Menorah New End North Bridge House North London Grammar School Osidge Primary Rainbow Montessori Sinai Jewish Primary SMSJ St Andrew's (Streatham) St Andrews (Totteridge) St Barnabas St John Fisher St Luke's St Margaret's Infant (Bushey) St Margaret's Prep (Bushey) St Margaret's (Gosfield) St Mary's Church of England Amersham St Mary's Hampton St Paul's St Teresa's (Wokingham) St Theresa's (Finchley) The Beacon The Children's House Thomas Harding Upshire West London Free Primary Whoberley Hall Winkfield St Mary's Details of Child/Student First name(s) of child/student Surname of child/student School year Reception Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Year 13 Date of birth: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year (YYYY) Contact Details Name of parent Email address of parent Phone number Other Information Please state any allergies, medical or special educational needs of child/student Registration Fee Fee (£) Booking fee (£) Total fee payable (£) Join our emailing list We would like to add you to our emailing list. This emailing list will only be used to inform you of chess-related events, and your contact information will not be shared with any other party. Yes, please add me to your emailing list! Payment Method Nochex – Secure credit/debit card payment (no registration or membership necessary)