Panda Chess Academy Registration Form
Please make payment before filling out this form or immediately after. 
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Email *
What are you registering for? Please check all that apply. *
Summer Chess Camp Date(s): Please enter the dates below.
Student's Name *
Phone *
Please list the best phone number for us to reach you. 
Returning players and students, feel free to scroll to the bottom of this form and click submit. 

For newcomers or those who haven't attended a Panda Chess Academy event in the last 6 months, please fill out the rest of the form. If any of your contact information has changed, please fill out the form again.
Name of Parent or Guardian
Additional Parent or Guardian
Mailing Address
Additional Phone
Additional phone number. If you wish to enter more, you may do so in the "Notes and Other Information" part of this form. 
Please list any emergency contact information. 
Example: Jane Doe, Child's Grandma, 214-333-4444 123 Smith St Houston TX 77025
Please list any food allergies or medical conditions of which we should be aware.
How did you hear about the Panda Chess Academy?
Notes and Other Information
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