Oak Mountain Intermediate School Chess Class

Name

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Oak Mountain Intermediate School
Fall Chess Class

Caesar Chess, LLC
Caesar Lawrence – Director/Coach

September 6, 2022 - December 13, 2022

PLACE/SITE
Oak Mountain Intermediate School
5486 Caldwell Mill Rd
Birmingham, AL 35242

Child's Name:

First Last

Age:

Grade:

Gender:

Male

Female

Mom's Name:

First Last

Phone #:

Cell #:

Work #:

Dad's Name:

First Last

Phone #:

Cell #:

Work #:

Address

Street Address City State Zip

Parent's Email:

*Email used for Caesar Chess purposes only.

**Other Relatives and/or Friends who can pick up your child from the Caesar Chess Class:

Pickup Person Name 1:

First Last

Phone #:

Cell #:

Relationship:

Pickup Person Name 2:

First Last

Phone #:

Cell #:

Relationship:

Printed Name of Parent and/or Legal Guardian:

Date:

Signature of Parent and/or Legal Guardian:

AUG 2022

UPCOMING EVENTS

October 10, 2026 08:00 Birmingham

2026 National Chess Day

November 14, 2026 08:00 Dothan

2026 Dothan Open

November 21, 2026 08:00 Birmingham

Oak Mountain Intermediate School Fall Chess Class

Caesar Chess, LLC Caesar Lawrence – Director/Coach

UPCOMING EVENTS

2026 National Chess Day

2026 Dothan Open

2026 Dancing Knights Scholastic

Oak Mountain Intermediate School
Fall Chess Class

Caesar Chess, LLC
Caesar Lawrence – Director/Coach