Request edit access
Register for ChessNinja at Jungle Town!

Your youngster will test their balance and agility while exploring the fundamentals of chess.
We meet on Tuesday mornings at Jungle Town.

Session I:
Sept. 6- Oct. 9 (6 meetings)
$72
Session II:
Oct. 16- Dec. 4 (8 meetings)
$96

Please choose. *
Student's First Name *
Your answer
Student's Last Name *
Your answer
Age *
Your answer
Birthday *
MM
/
DD
/
YYYY
Interests/ Hobbies *
Your answer
Dietary/Allergy Information *
Your answer
Parent/ Guardian Name *
Your answer
Cell *
Your answer
Email *
Your answer
Emergency Contact(s) *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Chess·Ninja. Report Abuse - Terms of Service