PS 19 EVCS After School Chess Program Registration (Winter-Spring 2024) (PS 19 Students ONLY)
Please fill in the form below. EVCS PS 19 Winter-Spring Chess Club will start on January 18 and end on June 30. Register soon, as classes may fill up.
Student's Name
*
First Name
Last Name
Grade & Teacher (East Village Community School PS 19 students only)
Grade
Teacher's name
Parent or Guardian's Name
*
First Name
Last Name
Phone Number
*
E-mail
*
example@example.com
Emergency Contact
*
First Name
Last Name
Emergency Phone Number
*
Allergies/Concerns
CHESS CLUB REGISTRATION (make sure all of the required fields above are complete and select ONE of the below sessions)
*
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After School Chess Winter-Spring Session - Monday Chess Club (February 5 - June 10 ) (14 Sessions)
$
314.00
After School Chess Winter-Spring Session - Tuesday Chess Club (February 6 - June 11 ) (16 Sessions)
$
359.00
After School Chess Club Winter-Spring Session - Monday and Tuesday sessions (30 Sessions)
$
521.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit Registration Form
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