Ed Zelkind Summer Camp Registration Form
Please complete this form and mail it, along with check, to:
Ed Zelkind
1848 Turquoise Trail
Eagan, MN 55122
Indicate week(s) and session (s) your child will attend:
| _____ July 21-25 | _____ August 4-8 |
Cost |
| Full Day 8:30 - 5:00 | Full Day 8:30 - 5:00 | $297 per week |
| Morning 8:30 - 12:30 | Morning 8:30 - 12:30 | $199 per week |
| Afternoon 1:00 - 5:00 | Afternoon 1:00 - 5:00 | $199 per week |
Camper name: ________________________________ Parent's name: ____________________________________
Address: __________________________________ City: ______________________________ State: ____ Zip: _______
Day Phone: ______________ Evening Phone: _______________ Cell Phone:______________ Emergency: _____________
Email: _____________________ School: ________________________________________ Grade next year: _____________
Please list any pre-existing health conditions we should be aware of:_____________________________________________
Skill level:
______ Beginner (Little or no experience)
______ Advanced Beginner (Can
checkmate with King & Queen or King & Rook)
______ Intermediate (Has a couple years of tournament experience)
______ Advanced (Has US
Chess Federation rating and/or group or private lessons)
T-Shirt Size:
| ____ Kids 6-8 | ____ Kids 8-10 | ____ Adult small | ____ Adult medium | ____ Adult large | ____ Adult extra = large |