2019 Fall Chess Club at Brentwood Park Elementary School

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 *
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)
Should be Empty:

Registration Form