Roshen's Chess Academy Form
Please fill out this form if you are interested in joining Roshen's Chess Academy.
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Student's First Name *
Student's Last Name *
Student's Age (as of September 2023) *
Student's Grade (as of September 2023) *
Student's School Name (as of September 2023) *
Name of Parent 1 *
Email of Parent 1 *
Phone Number of Parent 1 *
Name of Parent 2 *
Email of Parent 2 *
Phone Number of Parent 2 *
Person or Organization that recommended our service to you
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