Online Registration Form

August 12, 2017 Available Tournaments *
Please select the tournament(s) you would like to join.
Participant's Name *
Participant's Name
Date of Birth *
Date of Birth
Cell Phone *
Cell Phone
Please explain any special circumstances pertaining to the participant's health or well being that we should know about. Any conditions not disclosed in this application cannot be accommodated. Boulder County Chess School (BCCS) Chess Camp will make reasonable effort to accommodate the needs of each child. However, special arrangements must be finalizled three weeks before camp starts. No medications of any kind will be given to campers without written parental permission.
I grant permission for my child to participate in the Boulder County Chess School (BCCS) tournament. There is no guarantee or warranty that any participant will be at any specific skill level when he/she completes the tournament. I understand that the enrollment fee is non-refundable even if the child does not wholly or partially participate in the tournament due to a change of plans, sickness, or if the child leaves early due to disruptive behavior as decided by the BCCS staff. All participants are to abide by all rules and regulations. There is to be full cooperation with the supervisory and volunteer personnel. Any violation or unfulfilling of behavior standards will result in that individual being sent home at his/her and/or parent's expense. Each participant in the tournament is responsible for his/her own safety. In case of accident or illness, the staff is authorized to secure emergency medical treatment. No medications of any kind (prescription or over-the-counter) will be given orally to participants. Boulder County Chess School is not responsible for lost, stolen, or damaged personal articles. I authorize BCCS to use the name of, any photographs, slides, or videotapes of the participant named on this application for promotional purposes. I agree to indemnify and hold the Boulder County Chess School, LLC and its instructors and supervisors as well as other tournament participants and their families harmless from any liability for loss, injury death, cost, or expense (including attorney's fees, medical and ambulance costs) that may incur as a result of my child participating in the tournament. This release of liability specifically includes losses, injuries, death, costs or expenses that occur as the result of negligence. I further agree to hold the instructors, supervisors, any agents and/or employees of BCCS as well as other tournament participants and their families harmless and indemnify them generally and specifically from all such liability. I also agree to pay for any property damages charged to the BCCS that may result from my child's actions. I understand that I will monitor my child for the entire duration of the tournament.

SUBMIT FORM BEFORE YOU CLICK ON PAYPAL!


Payment Options:

1. Cash

2. Check

3. PayPal (+3% to cover PayPal transaction fee)           

Select your tournament