Diana Tulman
  28 Canterbury Lane
  New Milford, NJ 07646





2017 Scholastic Spring Camp Program April 10 - 14
Open to kids from ages 6 to 16 We promise a 5:1 student teacher ratio Prizes and trophies for tournaments and competitions Camp T-shirts Our goal is to foster an environment of learning and fun

ENTRY FORM
First Name:  Last Name:  Date of Birth: 
Home address: 
City:  State:  ZIP: 
Mother's Name:  Phone #: 
Father's Name:  Phone #: 
Home phone #:  E-mail:  USCF rating: 
Emergency Contact: 
Weeks' numbers: 1  2  3  4  Please check the week(s) number(s)
TOTAL ENCLOSED $________


Check should be made out to International Chess Academy
Mail the registration form and check to
Diana Tulman, 28 Canterbury Lane, New Milford, NJ 07646