Register for Barnet Knights Chess Club - Garden Suburb Details of Child/Student First name(s) of child/student Surname of child/student School School year Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 Year 13 Date of birth: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year (YYYY) Contact Details Name of parent Email address of parent Phone number Other Information Please state any allergies, medical or special educational needs of child/student Registration Fee Total fee payable (£) Payment Method Nochex – Secure credit/debit card payment (no registration or membership necessary)
