Detroit Waldorf School Parent-Child Program

1. Registration

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* 1. Please complete:

Parent(s)/Guardian(s) Names (please list both parents/guardians if applicable): *

Name of person who will attend class with child: *

Address: *

Address 2:

City/Town: *

State: *

ZIP/Postal Code: *

Email Address: *

Phone Number: *

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* 2. Child's Information (include last name if different):

Name:

Date of Birth:

Gender:

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* 3. List any allergies. (child and/or caregiver attending class)

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* 4. List any special needs.

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* 5. How did you hear about our Parent-Child Class?

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* 6. Have you had any experience with Waldorf education?

Yes

If yes, please explain.

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* 7. Additional Comments:

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* 8. Method of Payment:

Credit Card Payment (please pay online at www.detroitwaldorf.org/parent-child-program, Please note that your spot in the class is not secure until payment is received)

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* 9. Registration for:

Winter Monday - 6 weeks (Feb 5th - Mar 19: no class on 2/19/18)

Spring Monday - 6 weeks (April 16th - May 21st)

Spring Friday - 6 weeks (April 13th - May 18th)

We will notify you as soon as possible of acceptance or waiting list status and will return the fee for those we are unable to accommodate. Refunds for those enrolled will be made only if the space reserved is filled; discounts, refunds or make-up days for partial attendance due to illness or other factors will not be possible.

For more information contact:
Charis Calender-Suemnick
(313) 822-0300
admissions@detroitwaldorf.org