STUDENT REGISTRATION FORM


Student's Name	*	Student's Grade	*
Student's Surname	*	Student's Age	*
School	*	Term	*
Parent's Name	*	State	*
Parent's Surname	*	Year	*
Mobile phone	*	Home phone	*
Work phone	*	Parent's Email	*
Postal Address	* Street or PO Box address required.	Message
Credt Card Payments
Name on Card		Card Type
Credit Card No.	/ / /	Expiry Month
CC Processing Fee	CC Processing Fee = 3%	Expiry Year

BPAY	ACC. NAME: CHESS RULES AUSTRALIA	BSB: 013 260	ACC. No. 4952 42 959
	Please ensure you include the following details in PAYEE note: school, child's name.
FEES
VICTORIA	FEES FOR ALL VICTORIAN SCHOOLS ARE $10 PER CHILD PER CLASS PER TERM.
WEST AUSTRALIA	FEES FOR ALL WESTERN AUSTRALIAN SCHOOLS ARE $10 PER CHILD PER CLASS PER TERM.
PLEASE MAKE PAYMENT FOR WHOLE TERM IN ADVANCE FOR WHOLE TERM WITHIN 14 DAYS OF TERM START.
NB. Some schools charge for use of space to conduct classes, unfortunately CRA will require additional $2 per class per student to cover this expense.

*Required Information - Please fill in these fields so we can contact you if necesary. PLEASE MAKE PAYMENT FOR WHOLE TERM IN ADVANCE WITHIN 14 DAYS OF TERM START. WHEN STUDENT START IS AFTER TERM BEGINNING CALCULATE FEE FROM DATE OF FIRST CLASS TO THE END OF TERM. CASH PAYMENTS Cash payments will not be accepted from children or teachers. CHEQUE PAYMENTS Please fill in and submit the form above and post cheque (please include child's name and school on back of cheque). Make payable to Chess Rules Australia Pty Ltd and send to: PO Box 292 GLEN HUNTLY VICTORIA 3163 FREECALL 1800 036 668 FOR MORE INFORMATION. Return to top of page Return to Home Page

PLEASE MAKE PAYMENT FOR WHOLE TERM IN ADVANCE WITHIN 14 DAYS OF TERM START. WHEN STUDENT START IS AFTER TERM BEGINNING CALCULATE FEE FROM DATE OF FIRST CLASS TO THE END OF TERM.

CASH PAYMENTS Cash payments will not be accepted from children or teachers.

CHEQUE PAYMENTS Please fill in and submit the form above and post cheque (please include child's name and school on back of cheque). Make payable to Chess Rules Australia Pty Ltd and send to:

PO Box 292 GLEN HUNTLY VICTORIA 3163

FREECALL 1800 036 668 FOR MORE INFORMATION. Return to top of page Return to Home Page

PLEASE MAKE PAYMENT FOR WHOLE TERM IN ADVANCE WITHIN 14 DAYS OF TERM START.
WHEN STUDENT START IS AFTER TERM BEGINNING CALCULATE FEE FROM DATE OF FIRST CLASS TO THE END OF TERM.

CASH PAYMENTS

Cash payments will not be accepted from children or teachers.

CHEQUE PAYMENTS
Please fill in and submit the form above and post cheque (please include child's name and school on back of cheque).
Make payable to Chess Rules Australia Pty Ltd and send to:

PO Box 292
GLEN HUNTLY
VICTORIA 3163

FREECALL 1800 036 668 FOR MORE INFORMATION.
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