Registration Form
2019 FALL CHESS CLUB AT BRENTWOOD PARK ELEMENTARY SCHOOL Monday, October 7 - December 9, 3:00 - 4:30pm (8 Sessions) Cost: $100.00 Please note: NO Class on Oct 14 and November 11
Parents Name
*
First Name
Last Name
Students Name
*
First Name
Last Name
Please Select Grade
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Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
School Name
Parents Phone Number
*
Emergency Contact Number
*
Parents Email
*
Question for the organizer
Chess class fee is $100.00 for 8 sessions, Please choose your preferred method of payment.
*
Cash or Cheque (I would like pay in person on Oct 7) Cheque made payable to; Burnaby Junior Chess Club
Credit card (Paypal) (I would like to receive a link for payment)
REGISTER NOW
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