Forest Hills Chess Camps - Full Day (9:00 AM - 5:00 PM)
70-35 112th Street, Forest Hills, NY 11375
Student Information (1)
Student's Name
*
First Name
Middle Name
Last Name
Age
*
Grade
*
School
*
Skill Level
*
Please Select
Pawn 1 (Beginner 1) - Absolute Beginners
Pawn 2 (Beginner 2) - Knows the movements and values of pieces
Knight (Beginner 3) - Can do checkmate with Queen+King, and 2 Rooks
Bishop (Intermediate 1) - Can do checkmate with only 1 Rook+King, and knows what "opposition" is
Rook (Intermediate 2) - Players with USCF rating of 800-1299
Queen (Advanced 1) - Players with USCF rating of 1300-1800
King (Advanced 2) - Players with USCF rating of 1800 and above
Not sure
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?
*
Yes
No
Student 1 Registration
October 14, 2024 (Indigenous People's Day) - $95
November 1, 2024 (Diwali) - $95
November 5, 2024 (Election Day)- $95
November 11, 2024 (Veterans Day) - $95
December 23, 2024 (Winter Break) - $95
December 24, 2024 (Winter Break) - $95
December 26, 2024 (Winter Break) - $95
December 27, 2024 (Winter Break) - $95
December 30, 2024 (Winter Break) - $95
December 31, 2024 (Winter Break) - $95
Get 5% sibling discount on the 2nd (and subsequent child). Sibling discount is applicable only if the siblings are attending on the same afterschool days.
Signing up for more than one child?
Student Information (2)
Student's Name
*
First Name
Middle Name
Last Name
Age
*
Grade
*
School
*
Skill Level
*
Please Select
Pawn 1 (Beginner 1) - Absolute Beginners
Pawn 2 (Beginner 2) - Knows the movements and values of pieces
Knight (Beginner 3) - Can do checkmate with Queen+King, and 2 Rooks
Bishop (Intermediate 1) - Can do checkmate with only 1 Rook+King, and knows what "opposition" is
Rook (Intermediate 2) - Players with USCF rating of 800-1299
Queen (Advanced 1) - Players with USCF rating of 1300-1800
King (Advanced 2) - Players with USCF rating of 1800 and above
Not sure
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?
*
Yes
No
Student 2 Registration
October 14, 2024 (Indigenous People's Day) - $95
November 1, 2024 (Diwali) - $95
November 5, 2024 (Election Day)- $95
November 11, 2024 (Veterans Day) - $95
December 23, 2024 (Winter Break) - $95
December 24, 2024 (Winter Break) - $95
December 26, 2024 (Winter Break) - $95
December 27, 2024 (Winter Break) - $95
December 30, 2024 (Winter Break) - $95
December 31, 2024 (Winter Break) - $95
Student Information (3)
Student's Name
First Name
Middle Name
Last Name
Age
Grade
School
Skill Level
Please Select
Pawn 1 (Beginner 1) - Absolute Beginners
Pawn 2 (Beginner 2) - Knows the movements and values of pieces
Knight (Beginner 3) - Can do checkmate with Queen+King, and 2 Rooks
Bishop (Intermediate 1) - Can do checkmate with only 1 Rook+King, and knows what "opposition" is
Rook (Intermediate 2) - Players with USCF rating of 800-1299
Queen (Advanced 1) - Players with USCF rating of 1300-1800
King (Advanced 2) - Players with USCF rating of 1800 and above
Not sure
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?
Yes
No
Student 3 Registration
October 14, 2024 (Indigenous People's Day) - $95
November 1, 2024 (Diwali) - $95
November 5, 2024 (Election Day)- $95
November 11, 2024 (Veterans Day) - $95
December 23, 2024 (Winter Break) - $95
December 24, 2024 (Winter Break) - $95
December 26, 2024 (Winter Break) - $95
December 27, 2024 (Winter Break) - $95
December 30, 2024 (Winter Break) - $95
December 31, 2024 (Winter Break) - $95
Parent/Guardian's Information
Parent/Guardian's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Emergency Contacts / Authorized Person to Pick-up
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Subtotal
Sibling Discount
Subtotal - Sibling Discount
TOTAL
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Additional Information
Refund Policy and General Media Release
*
I understand that all cancellations require at least 24 hours prior to the day of the program in order to receive full credit for the purchased amount to be applied toward any other NYCA programs. Credits never expire and are transferable. Refund requests are considered on a case by case basis. I hereby authorize New York Chess Academy (NYCA) to photograph, take motion pictures, video footage, and/or make electronic sound recordings of the participant I am registering. I authorize the use of any such photographic or electronic reproductions for any purpose, including, but not limited to educational and other public media as may be deemed appropriate by the New York Chess Academy.
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