Panda Chess Academy Registration Form
Please make payment before filling out this form or immediately after. 
Sign in to Google to save your progress. Learn more
Email *
What are you registering for? Please check all that apply. *
Required
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.
Birthday
MM
/
DD
/
YYYY
School
Grade
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
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy