Competitive Arts and Academics Enrollment
Chess
Student Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date of Birth
Grade level
*
Gender
*
Male
Female
Is the student enrolled in Konos core courses?
*
Yes
No
If no, where does the student receive his or her primary instruction?
Student Email
example@example.com
Student Phone
-
Area Code
Phone Number
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent Phone
*
-
Area Code
Phone Number
Options
Chess (fall only) $175 membership fee + $50 competition fee
Chorus (fall and spring) $200 membership fee each semester + $25 competition fee (in fall)
Payment
*
prev
next
( X )
Chess
$
285.00
Includes enrollment fee and all competition fees
Student
First student
1st sibling
2nd sibling
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Submit
Should be Empty: