Clone of (NEW) (WEDNESDAYS) PS/IS 178 (THE HOLLISWOOD SCHOOL)

PS/IS 178 - The Holliswood School (WEDNESDAYS, January 7, 2026 - March 25, 2026)

189-10 Radnor Rd, Hollis, NY 11423

Student Information (1)
Student's Name*

First NameMiddle NameLast Name
Age*
Grade*
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):My child will go to After-School
Name:
Phone Number:
Name:
Phone Number:
Allergies or anything else we need to know?

Parent/Guardian's Information
Parent/Guardian's Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contacts
Additional Information

Payment 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 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.
Pick Up Policy*

Please note that late pick-ups will incur a fee of $1 per minute after a 5-minute grace period, unless you inform us in advance. Late fees will be collected in cash. Thank you for understanding.
My Products*
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Full Program (11 Sessions)
$275.00 Quantity



Full Program (22 Sessions) (TUESDAYS AND WEDNESDAYS)$75 discount
$475.00 Quantity



January 7, 2026
$30.00 Quantity



January 14, 2026
$30.00 Quantity



January 21, 2026
$30.00 Quantity



January 28, 2026
$30.00 Quantity



February 4, 2026
$30.00 Quantity



February 11, 2026
$30.00 Quantity



February 25, 2026
$30.00 Quantity



March 4, 2026
$30.00 Quantity



March 11, 2026
$30.00 Quantity



March 18, 2026
$30.00 Quantity



March 25, 2025
$30.00 Quantity



Subtotal

$0.00

Tax

$0.00

Total

$0.00

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PS/IS 178 - The Holliswood School (WEDNESDAYS, January 7, 2026 - March 25, 2026)