SUMMER ADVANCED CHESS CAMP 2007
Child
Firs Name
Last Name
DOB
School
Grade(s)
Mother's Name
Business phone #
Father's Name
Business phone #
Address
Line 1
Line 2
City
State
Zip
E-mail
Home phone#
Weeks: :
7/9 – 7/13
7/16 – 7/20
7/23 – 7/27
MAKE YOUR CHECK PAYABLE TO:INTERNATIONAL CHESS ACADEMY
Mail to the address:
Diana Tulman 28 Canterbury Lane New Milford NJ 07646