Sapience Chess Club registration

Champion's Name *

First

Last

School *

If your child's school has multiple campuses, Please specify the campus as well

Grade *

Please select your child's Grade

Date of Birth *

Gender *

Parent's Name *

First

Last

Parent's Contact Number *

Alternate Number

Parent's Email Address *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Select the Learning Programs *

Print your name below to sign the Registration Form *

Chess Club Weekly auto pay registration