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Sacred Heart Chess Club Registration
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Step
1
of 6
Parent Name
*
First
Last
Email
*
Phone
*
Student Name
*
First
Last
Student Grade
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Has this student participated in a DMCA chess club previously?
*
Yes
No
Please describe their chess experience
Session Selection Fall
Fall (Sep 15th - Nov 3rd) - $119.00
Session Selection Winter
Winter (Dec 1st - Feb 2nd) - $119.00
Session Selection Spring
Spring (Mar 23rd - May 11th) - $119.00
Session Selection Full Year
Fall, Spring, & Winter - $289.00
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 Fall
Fall (Sep 15th - Nov 3rd) - $119.00
Session Selection Winter
Winter (Dec 1st - Feb 2nd) - $119.00
Session Selection Spring
Spring (Mar 23rd - May 11th) - $119.00
Session Selection Full Year
Fall, Spring, & Winter - $289.00
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 Fall
Fall (Sep 15th - Nov 3rd) - $119.00
Session Selection Winter
Winter (Dec 1st - Feb 2nd) - $119.00
Session Selection Spring
Spring (Mar 23rd - May 11th) - $119.00
Session Selection Full Year
Fall, Spring, & Winter - $289.00
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
Next
Submit Secure Payment
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