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Youth Programs Parsha & Pawns

Parsha & Pawns Registration

Child's Name*
First NameLast Name
Grade
Birth Date*
MonthDayYear
Child's approximate Chess Level
Additional Children
name, grade, birthdate and chess level
Fathers Name
First NameLast Name
Mothers Name
First NameLast Name
Best Contact Number
Area CodePhone Number
E-mail
Cost$25 per child
$25 CAD
Total
$25.00 CAD
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card Paypal

Postal / Zip Code

Country

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