Chess Club

Parent Name

First Name Last Name
Parent Cell Number

Area Code Phone Number
Child Information
Child 1 Name

First Name Last Name
School
Grade
Child 2 Name

First Name Last Name
School
Grade
Child 3 Name

First Name Last Name
School
Grade
All important info. & updates will be sent through a What’s App Broadcast list In order to receive these messages,you need to have Rabbi Meir Geisinskys contact in your phone

I have saved 516-458-3833 in my phone to receive updates
Members Attending $40 per child
Non Members Attending $50 per child

Payment

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

This page uses TLS encryption to keep your data secure.

Child Information