Q300 Afterschool Program (Lower Division)
28-37 29th St, Astoria, NY 11102 | September 2024-January 2025 (Mondays-Fridays)
1st Student's Information
Student's Name
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Year
Grade
*
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 / anything we need to know?
Pick-up Time
*
5:00 PM
5:30 PM
Earlier than 5:00 PM
Activity Preference
*
Both activities for the day
Chess only
Please select the sessions you would like to attend
*
Mondays (17 sessions) - $663.00
Tuesdays (18 sessions) - $702.00
Wednesdays (18 sessions) - $702.00
Thursdays (16 sessions) - $624.00
Fridays (17 sessions) - $663.00
Student 1 Subtotal (without discount)
Student 1 Total
ADD A SECOND CHILD?
Please check the button to add another child in the registration. A 5% sibling discount will automatically be applied.
2nd Student's Information
Student's Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
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28
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30
31
Day
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2023
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2020
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2018
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2012
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2008
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2005
2004
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2002
2001
2000
1999
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1997
1996
1995
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1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
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1982
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1957
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1955
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1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Grade
*
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 / anything we need to know?
Pick-up Time
*
5:00 PM
5:30 PM
Earlier than 5:00 PM
Activity Preference
*
Both activities for the day
Chess only
Please select the sessions you would like to attend
*
Mondays (17 sessions) - $663.00
Tuesdays (18 sessions) - $702.00
Wednesdays (18 sessions) - $702.00
Thursdays (16 sessions) - $624.00
Fridays (17 sessions) - $663.00
Student 2 Subtotal (without discount)
Student 2 Total
ADD A THIRD CHILD?
Please check the button to add another child in the registration. A 5% sibling discount will automatically be applied.
3rd Student's Information
Student's Name
*
First Name
Middle Name
Last Name
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Grade
*
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 / anything we need to know?
Pick-up Time
*
5:00 PM
5:30 PM
Earlier than 5:00 PM
Activity Preference
*
Both activities for the day
Chess only
Please select the sessions you would like to attend
*
Mondays (14 sessions) - $546.00
Tuesdays (17 sessions) - $663.00
Wednesdays (16 sessions) - $624.00
Thursdays (17 sessions) - $663.00
Fridays (16 sessions) - $624.00
Student 3 Subtotal (without discount)
Student 3 Total (with multiple session discount)
Parent/Guardian's Information and Checkout
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
Additional Information
Subtotal
Sibling Discount
ENTER COUPON CODE
Apply remaining NYCA credit
Please enter the NYCA credit code
Coupon Code Discount
CREDIT AMOUNT
** SUBTOTAL-COUPON-CREDIT **
Total discount
Coupon code and any applicable credit
Payment Plans
See other payment plan options. If you prefer to pay in full, please keep this field unchecked.
PAYMENT PLANS SECTION
For other payment plans, we will send you an invoice on your preferred payment schedule
Two payments (50% due upon sign-up, 50% due by November 30, 2024)
Monthly payments (1st month due upon sign-up, then equal payments every month due on the first Friday of each month)
Please check the box below if you prefer to auto-charge your card on file
I hereby grant authorization to automatically charge the credit card on file for any recurring payments.
** SUBTOTAL-COUPON-CREDIT / PAYMENT PLAN **
PAYMENT SECTION
** FINAL TOTAL **
** VALUE CONTAINER **
Total
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Card Expiration
Pick-up Policy, 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. A 15-minute grace period will be provided allowing for extended dismissal until 5:45 PM. I hereby acknowledge and agree that a late pick-up fee of $25 will be charged for the first 15 minutes after the scheduled pick-up time. For every additional minute after the initial 15 minutes, an additional $1 per minute will be charged. This fee is payable directly to the instructor on the day of the late pick-up.
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