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Harker
Summer Camp
Registration Page

Harker Middle School
3800 Blackford Ave.
San Jose, CA. 95117
July 7-11 & July 14-July 18
9AM to 6PM

STUDENT'S NAME:
PARENT'S NAME: 
STREET ADDRESS:
CITY:
ZIP:
TELEPHONE:
E-MAIL: 		GRADE:
 

SELECT A CAMP:


APPLY A SIBLING DISCOUNT:



Students should bring a lunch although we will have some snacks available. 
No classes are held on the weekends during our camps.

IF SIGNING UP FOR A CHESS CAMP SELECT A CHESS LEVEL:
If your child is not taking the chess class, you can ignore this selection or leave it marked as 'BEGINNER.'


Beginner players have never played chess before. They are unfamilar with all the rules of the game.
Intermediate players have played chess before, know how the chess pieces move and how to castle.
Advanced players have been playing chess for a number of years and/or have played in chess tournaments.

SELECT PAYMENT OPTION:

Paying By Check:
 On your check, be sure to include your child's name and your phone number in case we have any questions. 
Your child's registration will not be complete until we receive your payment. please mail your payment to:

SUCCESS CHESS SCHOOL
39039 PASEO PADRE PKWY.
#201, FREMONT, CA 94538. 

 Paying By Credit Card:
Please fill out information below and click the "submit" button when you are finished.
If you do not receive an email verification, please contact Success Chess School at Info@SuccessChess.Com.

             
Credit Card type:

Credit Card Number (Please enter the number with no spaces or dashes)

CVV Number
For Visa & Mastercard: the last 3 digits in the signature area on the back of the card.
For American Express:  the 4 digits above the credit card number on the front of the card.

Exp. Month:        Exp. Year:
                  
Cardholder name (please type the name exactly as it appears on card)