Competitive Chess at HTMS withCoach Bella Belegradek Fall 2024 Online Class Flyer Use the form below to register Please enable JavaScript in your browser to complete this form.Student InformationStudent Name *FirstLastStudent Grade *678Parents InformationParent Name *FirstLastEmail *Home Phone Number *Cell Phone NumberWork Phone PhoneEmergency Contact NameEmergency Contact PhoneRegistering for *Spring Semester (14 classes) $280Waiver *I agreeI agree to release, indemnify, and hold harmless Bella Belegradek and all volunteers, as well as Hightower Trail Middle School, HTMS Husky Foundation, Cobb County School District, its Board of Education, and its employees, agents, or assignees, as well as its volunteers from and forever promise not to sue them on any and all claims, demands, rights, causes of action, liabilities, losses, damages, costs, and expenses (including attorney's fees), whether known or unknown, that I, any other parent or guardian of the named student below, or the student may have or may be brought against Bella Belegradek or the District Indemnities arising out of or in any manner relating to the student's participation in this program, including but not limited to the rendering of emergency medical procedures or treatment.Please send your payment directly to Coach Bella Belegradek via Venmo (bbelegradek@gmail.com) and include your kids names.SignatureClear SignatureEmailSubmit