Registration Form
WEDNESDAY FALL CHESS CLUB AT MARLBOROUGH ELEMENTARY SCHOOL (Staff Room West Bldg.) starting Wednesday, Oct 10 - December 12, 3:00-4:30pm (10 Sessions) Cost: $110.00
Parents Name
*
First Name
Last Name
Students Name
*
First Name
Last Name
Please Select Grade
*
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 $110.00 for 10 sessions, Please choose your preferred method of payment.
*
Cash or Cheque (I would like pay in person on Oct 10) Cheque made payable to; Burnaby Junior Chess Club
Credit card or Paypal (I would like to receive a link for payment)
REGISTER NOW
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