Astoria Lutheran School Afterschool (February 2, 2026

Astoria Lutheran School Chess Afterschool

31-20 21st Ave, Astoria, NY 11105 | (February 2, 2026 - June 15, 2026)

Student's Name*

First NameLast Name
Age*
Grade*
School*
Skill Level*
Allergies or anything else we need to know?
YesNo

Student's Name

First NameLast Name
Age
Grade
School
Skill Level
Allergies or anything else we need to know?
YesNo

Student's Name

First NameLast Name
Age
Grade
School
Skill Level
Allergies or anything else we need to know?
YesNo

Parent/Guardian's Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contacts / Authorized Person to Pick-up

Select Program*

Mondays - Full Program (17 sessions)

$28/session | 5% sibling discount for the second and subsequent child - automatically applied in the registration.

$476.00 Quantity

Mondays - Single Day Drop-in

Single day drop-in sessions. Please select the quantity from the drop-down, and enter the dates you are signing up for in the "Drop-in Session Dates" text field below.

$30.00 Quantity

Total

$0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

February 2, 2026February 9, 2026February 23, 2026March 2, 2026March 9, 2026March 16, 2026March 23, 2026March 30, 2026April 13, 2026April 20, 2026April 27, 2026May 4, 2026May 11, 2026May 18, 2026June 1, 2026June 8, 2026June 15, 2026
Additional Information
I understand that all cancellations require at least 24 hours prior to the day of the program in order to receive full credit for the purchased amount to be applied toward any other NYCA programs. Credits never expire and are transferable. Refund requests are considered on a case by case basis. I hereby authorize New York Chess Academy (NYCA) to photograph, take motion pictures, video footage, and/or make electronic sound recordings of the participant I am registering. I authorize the use of any such photographic or electronic reproductions for any purpose, including, but not limited to educational and other public media as may be deemed appropriate by the New York Chess Academy.
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Astoria Lutheran School Chess Afterschool