2021 Spring – Kids Club – Mon. Chess (4&5)

Zoom Link to be sent by Nick some time before the first class.

Mondays from 2:45-3:45pm on Zoom.

Child's Name*
First Last
Child's Classroom Teacher or Class #*
First Last
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 Kids Club updates
Parent/Guardian #2 Email
Parent/Guardian #2 Phone
Is there anything we should know about your child?
Spring 2021 - Kids Club - Mon. Chess (4&5)*
Price: $210.00
Total
$0.00
Credit Card*

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