Winter 2021 – Kids Club

You are signing up for the Winter 2021 Kids Club Chess program for 3rd and 4th graders.

When: Wednesday
Where: Zoom Link TBD

Child's Name*
First Last
Child's Classroom Teacher or Class #*
Child's Cohort*
Parent/Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Phone*
Parent/Guardian #2 Name
First Last
Please only fill out if the second parent/guardian needs to be informed about Kid's Club updates.
Parent/Guardian #2 Email
Parent/Guardian #2 Phone
Is there anything we should know about your child?
2021 Winter Kid's Club - Wed. Chess (3&4)*
Price: $191.00
Total
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name