FH Saturday Group Classes
70-35 112th St, Forest Hills, NY 11375 | September 2024 - January 2025 (Saturdays)
STUDENT INFORMATION
Student's Name
*
First 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
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Allergies or anything else we need to know?
Is the child authorized for self-dismissal?
*
Yes
No
PARENT/GUARDIAN'S INFORMATION
Parent/Guardian's Name
*
First Name
Last Name
Email Address
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example@example.com
Phone Number
*
Please enter a valid phone number.
Emergency Contacts / Authorized Person to Pick-up
PROGRAM REGISTRATION
Select Program
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PAWNLING Class - 3 to 5 years old (Full Program)
Beginner 1 Level, 3 to 5 years old - 12:45 AM - 1:15 PM
$
360.00
PAWNLING Class - 3 to 5 years old (Drop-in)
Single day drop-in sessions. Please select the quantity from the drop-down, and enter the dates you are signing up for in the "Drop-in Session Dates" text field below.
$
25.00
Quantity
1
2
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PAWN 1 Class (Full Program)
Beginner 1 Level - 9:00 AM - 10:00 AM
$
360.00
PAWN 1 Class (Drop-in)
Single day drop-in sessions. Please select the quantity from the drop-down, and enter the dates you are signing up for in the "Drop-in Session Dates" text field below.
$
25.00
Quantity
1
2
3
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PAWN 2 Class (Full Program)
Beginner 2 Level - 10:15 AM - 11:15 AM
$
360.00
PAWN 2 Class (Drop-in)
Single day drop-in sessions. Please select the quantity from the drop-down, and enter the dates you are signing up for in the "Drop-in Session Dates" text field below.
$
25.00
Quantity
1
2
3
4
5
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KNIGHT Class (Full Program)
Knight Level - 11:30 AM - 12:30 PM
$
360.00
KNIGHT Class (Drop-in)
Single day drop-in sessions. Please select the quantity from the drop-down, and enter the dates you are signing up for in the "Drop-in Session Dates" text field below.
$
25.00
Quantity
1
2
3
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BISHOP Class (Full Program)
Intermediate Level - 1:30 AM - 3:30 PM
$
504.00
BISHOP Class (Drop-in)
Single day drop-in sessions. Please select the quantity from the drop-down, and enter the dates you are signing up for in the "Drop-in Session Dates" text field below.
$
30.00
Quantity
1
2
3
4
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Rook Class (Full Program)
Intermediate Level - 3:45 AM - 5:45 PM
$
504.00
Rook Class (Drop-in)
Single day drop-in sessions. Please select the quantity from the drop-down, and enter the dates you are signing up for in the "Drop-in Session Dates" text field below.
$
30.00
Quantity
1
2
3
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Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Drop-in Session Dates (if applicable)
September 14
September 21
September 28
October 5
October 12
October 19
October 26
November 2
November 9
November 16
November 23
December 7
December 14
December 21
January 4
January 11
January 18
January 25
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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