FH Saturday Group Classes
70-35 112th St, Forest Hills, NY 11375 | February 1 - June 21, 2025 (Saturdays)
STUDENT INFORMATION
Student's Name
*
First Name
Last Name
Age
*
Grade
*
School
*
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
*
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
$
400.00
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
3
4
5
6
7
8
9
10
11
12
13
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PAWN 1 Class (Full Program)
Beginner 1 Level - 9:00 AM - 10:00 AM
$
400.00
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
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
PAWN 2 Class (Full Program)
Beginner 2 Level - 10:15 AM - 11:15 AM
$
400.00
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
6
7
8
9
10
11
12
13
14
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18
KNIGHT Class (Full Program)
Knight Level - 11:30 AM - 12:30 PM
$
400.00
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
4
5
6
7
8
9
10
11
12
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18
BISHOP Class (Full Program)
Intermediate Level - 1:30 AM - 3:30 PM
$
560.00
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
5
6
7
8
9
10
11
12
13
14
15
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17
18
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Drop-in Session Dates (if applicable)
February 1
February 8
February 22
March 1
March 8
March 15
March 22
March 29
April 5
April 12
April 19
April 26
May 3
May 10
May 17
May 24
May 31
June 7
June 14
June 21
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.
Please verify that you are human
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