Chess-for-Youth Online Form

Name of School/Group*

Name of Principal/Director*

Address*

Street Address City State ZIP Code

Enter School's address.

School/Group Email*

Number of Students Participating in Chess-for-Youth Program?*

Grades of those participating?

Name of the Chess-for-Youth Volunteer*

First Last

Has your school/group ever had a program of this type before?*

If yes, please explain.

Will you provide time & space for volunteers during and/or after school hours?*

If so, please give details.

Expanding the program to regular school chess club or inter-school activities?*

(e.g., chess tournaments or matches with other schools)

If so, please explain.

Other comments or ideas about the Chess-for-Youth program: