DMCA Chess Dojo Registration – Des Moines Chess Academy

Primary Contact

Please enter information for a Parent or Guardian to be the primary contact for communications regarding the student.

Primary Contact Name

First

Last

Email

Phone

Additional Contacts (optional)

Please enter any additional contacts you would like to be included on our dojo communications.

Full Name

First

Last

Email

Phone

Contact Type

Player Information

Please enter the information for the player you would like to register for the dojo.

Player Name

First

Last

Player Grade

Have they attended a Free Trial Session?

Yes
No

Location

Ankeny Dojo
Franklin Dojo

Payment Information

Player Contacts Address

Stripe Credit Card

Card

Name on Card

Billing Address

Address Line 1

Address Line 2

City

State

Zip Code

DMCA Chess Dojo Monthly Subscription

Price: $60.00

Subscription will automatically renew on a monthly basis. To pause or cancel your subscription, speak with Coach Jim directly or email us at dmchessacademy@gmail.com.

Primary Contact

Additional Contacts (optional)

Player Information

Please attend the level that Coach Jim assigned you at your Free Trial Session/Assessment.

Payment Information

join the des moines chess community