JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Chess 2022 - Private Coaching Form
For students with tournament experience looking to solve multiple assignments during the week.
Coaching package of 12 lessons: $868
A free introductory 15 minute Zoom meeting is available.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Parent filling out this form (first name last name)
*
Your answer
Phone Number
*
Your answer
Name of Student (first name last name - one form per student)
*
Your answer
Rising grade (student's grade NEXT year)
*
1
2
3
4
5
6
7
8
9
10
11
12
Best Day/Time for 1-on-1 Coaching Sessions
*
Your answer
Payment Method
*
Check
Venmo
There are no refunds for cancelled registrations or missed classes.
*
I understand and agree to the refund policy
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Math Culture LLC.
Report Abuse
Forms