Parent-Toddler Registration Spring 2021

Parent-Toddler Registration Spring 2021
Thank you for your interest in the AWS Parent Toddler class. This program is for infants to toddlers aged 3 and a half (42 months) old. We are currently taking applications for the class waitlist. Please fill out the form below and you will be notified of any open availability.
Select the class you are applying to*

Nurture in NatureBabes in Backpacks
Nurture in Nature: This 75-minute class is for adults and their toddlers who are strong walkers and eager to get their feet on the ground.

When: Tuesdays, May 4-June 8, from 10 am to 11:15 am

Cost: $120 per family, not per child

Babes in Backpacks:This 75-minute class is for adults and their children in carriers or little ones that need a hand (or two) to hold while walking.

When: Thursdays, May 6-June 10, from 10 am to 11:15 am

Cost: $120 per family, not per child
Select No.of Child/ren*
Child 1 Name*

First NameLast Name
Date of Birth*
Current Age*
Child 2 Name*

First NameLast Name
Date of Birth*
Current Age*
Child 3 Name*

First NameLast Name
Date of Birth*
Current Age*
Parent Guardian Details
Parent Guardian 1 Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Type of Contact Number*
Phone Number
Phone Number
Phone Number
Parent Guardian 2 Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Type of Contact Number
Phone Number
Phone Number
Phone Number
Please indicate if a different adult will attend class with your child/ren
Relationship
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone
Home Phone
Please list any allergies or sensitivities of anyone attending (e.g. dairy, wheat, bees).
Whom may we thank for referring you to AWS?*

Current AWS FamilyFormer AWS FamilyWebsiteSocial MediaWe have attended Parent-Toddler beforeOther
I/We hereby give permission for any photos or videos taken of our child/ren to be reproduced in Aurora Waldorf School printed, electronic or any other promotional media, including social media sites.*

YesNo
Signature*
Submitter's Email*
example@example.com
Should be Empty: