Forest Hills Afterschool (September 2025

Forest Hills Afterschool (September 2025 - January 2026)

70-35 112th St, Forest Hills, NY 11375

Student's Name*

First NameLast Name
Age*
Grade*
School*
Skill Level*
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?*

YesNo

Student's Name

First NameLast Name
Age
Grade
School
Skill Level
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?

YesNo

Student's Name

First NameLast Name
Age
Grade
School
Skill Level
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?

YesNo

Parent/Guardian's Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contacts / Authorized Person to Pick-up

Select Program*

Mondays - Full Program (17 sessions)

3:30-5:00 PM

$425.00 Quantity

Monday - Single Day Drop-in

3:30-5:00 PM. 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

Wednesdays - Full Program (18 sessions)

3:30-5:00 PM

$450.00 Quantity

Wednesday - Single Day Drop-in

3:30-5:00 PM. 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

Enter coupon

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

MONDAY Drop-in Session Dates (if applicable)

September 08, 2025September 15, 2025September 22, 2025September 29, 2025October 06, 2025October 27, 2025November 03, 2025November 10, 2025November 17, 2025November 24, 2025December 01, 2025December 08, 2025December 15, 2025December 22, 2025January 05, 2026January 12, 2026January 26, 2026
WEDNESDAY Drop-in Session Dates (if applicable)

September 10, 2025September 17, 2025October 01, 2025October 08, 2025October 15, 2025October 22, 2025October 29, 2025November 05, 2025November 12, 2025November 19, 2025November 26, 2025December 03, 2025December 10, 2025December 17, 2025January 07, 2026January 14, 2026January 21, 2026January 28, 2026
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*
Should be Empty:

Forest Hills Afterschool (September 2025 - January 2026)