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JHC Chess Sales and Services

Sitio Estrella Brgy San raphael Tarlac City


Tel. 09985451223 email gainsfieldchess@gmail.com

One Move Check Mate


1 Registration Form 2
W
Name W
________________________________________________
Birthday ____________________Age ________ Gender ________
School ________________________________________________
Grade ________________ Contact number ___________________
Adress _________________________________________________
Chess
3 Level: Beginner Elementary4 Intermediate Advance
Hours taken/ Session __________________________________
W W
Parents Signature Over Printed name Approved by:
….…………………………………………………………………………………………………..
Payment Method
Date : ____________________
5 6
Amount _______________________________________________
W
Received by: ____________________________________________
W 2 Moves Checkmate
Y:
JHC Chess Sales and Services
Sitio Estrella Brgy San raphael Tarlac City
Tel. 09985451223 email gainsfieldchess@gmail.com

Registration Form
Name ________________________________________________
Birthday ____________________Age ________ Gender ________
School ________________________________________________
Grade ________________ Contact number ___________________
Adress _________________________________________________
Chess Level: Beginner Elementary Intermediate Advance
Hours taken/ Session __________________________________

Parents Signature Over Printed name Approved by:


….…………………………………………………………………………………………………..
Payment Method
Date : ____________________
Amount _______________________________________________
Received by: ____________________________________________

Y:
JHC Chess Sales and Services
Sitio Estrella Brgy San raphael Tarlac City
Tel. 09985451223 email gainsfieldchess@gmail.com

Registration Form
Name ________________________________________________
Birthday ____________________Age ________ Gender ________
School ________________________________________________
Grade ________________ Contact number ___________________
Adress _________________________________________________
Chess Level: Beginner Elementary Intermediate Advance
Hours taken/ Session __________________________________

Parents Signature Over Printed name Approved by:


….…………………………………………………………………………………………………..
Payment Method
Date : ____________________
Amount _______________________________________________
Received by: ____________________________________________

Y:
JHC Chess Sales and Services
Sitio Estrella Brgy San raphael Tarlac City
Tel. 09985451223 email gainsfieldchess@gmail.com

Registration Form
Name ________________________________________________
Birthday ____________________Age ________ Gender ________
School ________________________________________________
Grade ________________ Contact number ___________________
Adress _________________________________________________
Chess Level: Beginner Elementary Intermediate Advance
Hours taken/ Session __________________________________

Parents Signature Over Printed name Approved by:


….…………………………………………………………………………………………………..
Payment Method
Date : ____________________
Amount _______________________________________________
Received by: ____________________________________________

Y:
JHC Chess Sales and Services
Sitio Estrella Brgy San raphael Tarlac City
Tel. 09985451223 email gainsfieldchess@gmail.com

Registration Form
Name ________________________________________________
Birthday ____________________Age ________ Gender ________
School ________________________________________________
Grade ________________ Contact number ___________________
Adress _________________________________________________
Chess Level: Beginner Elementary Intermediate Advance
Hours taken/ Session __________________________________

Parents Signature Over Printed name Approved by:


….…………………………………………………………………………………………………..
Payment Method
Date : ____________________
Amount _______________________________________________
Received by: ____________________________________________

Y:
JHC Chess Sales and Services
Sitio Estrella Brgy San raphael Tarlac City
Tel. 09985451223 email gainsfieldchess@gmail.com

Registration Form
Name ________________________________________________
Birthday ____________________Age ________ Gender ________
School ________________________________________________
Grade ________________ Contact number ___________________
Adress _________________________________________________
Chess Level: Beginner Elementary Intermediate Advance
Hours taken/ Session __________________________________

Parents Signature Over Printed name Approved by:


….…………………………………………………………………………………………………..
Payment Method
Date : ____________________
Amount _______________________________________________
Received by: ____________________________________________

Y:
JHC Chess Sales and Services
Sitio Estrella Brgy San raphael Tarlac City
Tel. 09985451223 email gainsfieldchess@gmail.com

Registration Form
Name ________________________________________________
Birthday ____________________Age ________ Gender ________
School ________________________________________________
Grade ________________ Contact number ___________________
Adress _________________________________________________
Chess Level: Beginner Elementary Intermediate Advance
Hours taken/ Session __________________________________

Parents Signature Over Printed name Approved by:


….…………………………………………………………………………………………………..
Payment Method
Date : ____________________
Amount _______________________________________________
Received by: ____________________________________________

Y:

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