PS 102 Afterschool (February 2024

PS/IS 178 - The Holliswood School (March 5, 2025 - June 18, 2025)

189-10 Radnor Rd, Hollis, NY 11423

Student's Name*

First NameMiddle NameLast Name
Age*
Grade*
School*
Chess Skill Level*

Beginner - The students will learn the basics of chess and builda solid foundation needed to move ahead - from the movements andvalues of the pieces to tactics and different checkmate patterns.Intermediate - The students will have a better understanding of the patterns, tactics, and principles in the opening, middlegame, and endgameAdvanced - The students will focus on the strategizing, thinking process, and have a deep understanding of different openings and endgame techniques.
* Please fill out the form and indicate each participant's level. Participants will be grouped based on these levels, and coaches will conduct assessments to ensure appropriate placement. When participants are ready for the next level, they will be automatically promoted.
Pick-Up Information:*

My child does not need a pick-up person and will walk/bike homeMy child will be picked up by the following person(s) (FILL OUT THE NEXT QUESTION IF SELECTED):
Name:
Phone Number:
Name:
Phone Number:
Allergies or anything else we need to know?

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 Empire Chess Training programs. Credits never expire and are transferable. Refund requests are considered on a case by case basis. I hereby authorize Empire Chess Training 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 Empire Chess Training.
My Products*
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Full Program (15 Sessions)
$375.00 Quantity



March 5, 2025
$30.00 Quantity



March 12, 2025
$30.00 Quantity



March 19, 2025
$30.00 Quantity



March 26, 2025
$30.00 Quantity



April 1, 2025
$30.00 Quantity



April 8, 2025
$30.00 Quantity



April 22, 2025
$30.00 Quantity



April 29, 2025
$30.00 Quantity



May 7, 2025
$30.00 Quantity



May 14, 2025
$30.00 Quantity



May 21, 2025
$30.00 Quantity



May 28, 2025
$30.00 Quantity



June 4, 2025
$30.00 Quantity



June 11, 2025
$30.00 Quantity



June 18, 2025
$30.00 Quantity



Subtotal

$0.00

Tax

$0.00

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

PS/IS 178 - The Holliswood School (March 5, 2025 - June 18, 2025)