Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Sacred Heart Chess Club Registration
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
-
Step
1
of 4
Parent Name
*
First
Last
Email
*
Phone
*
Student Name
*
First
Last
Student Grade
*
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other (I have received prior approval)
Has this student participated in a DMCA chess club previously?
*
Yes
No
Please describe their chess experience
Session Selection
*
Spring Session (Feb 24th - April 21st) - $119.00
Total
$0.00
Next
Would you like to register another student?
Yes
No
Student Name
*
First
Last
Student Grade
*
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other (I have received prior approval)
Has this student participated in a DMCA chess club previously?
*
Yes
No
Please describe their chess experience
Session Selection
*
Spring Session (Feb 24th - April 21st) - $119.00
Would you like to register another student?
Yes
No
Student Name
*
First
Last
Student Grade
*
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other (I have received prior approval)
Has this student participated in a DMCA chess club previously?
*
Yes
No
Please describe their chess experience
Session Selection
*
Spring Session (Feb 24th - April 21st) - $119.00
Total
$0.00
Next
Emergency Contact
*
First
Last
Relationship to student
Phone
*
Comments or additional info
Next
Total
$0.00
Stripe Credit Card
*
Card
Name on Card
Submit Secure Payment
Receive the latest Updates
join the des moines chess community
Email Address
First Name
Last Name
Email Opt In
Monthly Newsletter: Updates & Events
Marketing Opt In
Summer Camp Promos & Other Offers
Join Now
