Student Admission Form Student Information Full Name Date of Birth Age Gender MaleFemaleOther School/College Name Current Grade/Class Parent/Guardian Details Parent/Guardian Name Relationship to Student Phone Number (Primary) Phone Number (Alternate) Email Address Chess Background Has the student played chess before? YesNo If yes, how long? Any tournament experience? YesNo Details (if any) Class Preference Mode of Learning Offline (Bellary)Online (Zoom/Meet) Preferred Days/Timing Additional Comments or Questions I agree that Bellary Chess may contact me using the details provided above.
