Chess Enrollment
Level: Beginner - Advanced
Ages: 3rd - 12th grade (3rd-5th grade students accepted if they are developmentally ready for the focus and attention required in practices)
Start date: September 16th
Meetings: Mondays from 5:15-7:00pm
Coach: Chris Heekin
Cost: $285 ($265 sibling discount); an additional $50 GAPPS competition fee is required for any students who are not Konos Core students or taking a minimum of 3 Plus classes (per state rules)
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
Chess
*
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Chess
$
285.00
Student
First student
Sibling
Additional GAPPS competition fee
$
50.00
Required for those who are not Core students or not taking 3 or more Plus courses (per state rules)
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Payment Methods
Debit or Credit Card
Please click one of the PayPal options to complete payment and
submit
the form.
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