PS 102Q Afterschool (February 2026

PS 102 Afterschool (February 2026 - June 2026)

55-24 Van Horn St, Elmhurst, NY 11373

Student's Name

First NameLast Name
Age
Grade
School
Skill Level
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?

Student's Name

First NameLast Name
Age
Grade
School
Skill Level
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?

Student's Name

First NameLast Name
Age
Grade
School
Skill Level
Allergies or anything else we need to know?
Is the child authorized for self-dismissal?

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 (18 sessions)

$22/session

$396.00 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.

$27.00 Quantity

Wednesdays - Full Program (18 sessions)

$22/session

$396.00 Quantity

Wednesdays - 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.

$27.00 Quantity

Enter coupon

Total

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

MONDAYS Drop-in Session Dates (if applicable)
WEDNESDAYS Drop-in Session Dates (if applicable)
Additional Information
Refund Policy and General Media Release

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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PS 102 Afterschool (February 2026 - June 2026)

Select Program*

Select Program