Green Valley After School Enrichment Registration
Please fill out this form to register your child for Winter 2023 Black Dragon Chess Enrichment Classes.
  
To complete registration, please submit payment via Paypal and Zelle: blackdragonchess@gmail.com
Venmo:  "@JB-McCann" (last 4 digits of my phone number are 0814).  Be sure to include your child's name in the payments notes.

Class fee is $146/student.
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Participant Name *
Participant Teacher *
Participant Grade *
Parent Name *
Parent Phone Number *
Parent Email *
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