PS 102Q Afterschool (September 2026

PS 102Q Afterschool (September 2026 - January 2027)

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 (16 sessions)

$400/full program (16 sessions). Early registration discount and sibling discounts available

$400.00 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

Wednesdays - Full Program (15 sessions)

$375/full program (15 sessions). Early registration discount and sibling discounts available

$375.00 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.

$30.00 Quantity

Enter coupon

Total

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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

I understand that all cancellations require at least 24 hours notice prior to the program date to receive a full credit toward any other NYCA program. Credits never expire and are transferable. If a refund to the original payment method is preferred over a credit, a 5% processing fee will be deducted to cover non-refundable third-party transaction costs. I also acknowledge and agree to the Academy's policies regarding student behavior and late pick-up fees as outlined on the NYCA website. Additionally, 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 for use in any educational or public media as deemed appropriate by the Academy.
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PS 102Q Afterschool (September 2026 - January 2027)

Select Program*

Select Program