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Youth Programs Parsha & Pawns

Parsha & Pawns Registration

Child's Name*
First Name Last Name
Grade Geared for grades 3-6
Birth Date*

Month Day Year
Child's approximate Chess Level
Additional Children
include: name, grade, birthdate and chess level
Fathers Name
First Name Last Name
Mothers Name
First Name Last Name
Best Contact Number

Area Code Phone Number
E-mail
Cost $25 per child

$25 CAD
Total

$0.00 CAD
Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment

Credit Card Paypal

Postal / Zip Code

Country

I would like to receive news and updates by email
Comments
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