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 NameLast Name
Students Name*

First NameLast 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 ClubCredit card (Paypal) (I would like to receive a link for payment)
Should be Empty:

Registration Form