Winter 2022 Indoor Parent-Toddler Registration Form

Winter 2022 Indoor Parent-Toddler Registration Form
Indoor Parent-Toddler Winter 2023

This program is for children (birth - 3 years old) and their caregivers. During the six-week indoor session, families will gather weekly in a small group setting to experience the warm rhythm and home-like atmosphere of our Early Childhood program, Aurora Waldorf School, and experience the wonder of a Waldorf approach to education.

Space is very limited for the indoor session. Applications are due by Friday, November 18th. Placement notifications will be sent in early December. Payment in full is required to reserve your placement in the Parent-Toddler program. Payments are non-refundable after the program begins.

Cost: $210 per family, not per child
When

Classes meet one (1) day per week from 9 am - 11 am for 6 classes this winter. The classes will begin the week of January 9th and end the week of March 10th. Please indicate your 1st through 5th choices of days of the week.
Please indicate your 1st choice of days.*
Please indicate your 2nd choice of days.*
Please indicate your 3rd choice of days.*
Please indicate your 4th choice of days.
Please indicate your 5th choice of days.
Select No. of Child/ren*
Student 1 Name*

First NameLast Name
Student 1 Birthdate*

MonthDayYear
Student 1 Current Age*
Student 2 Name*

First NameLast Name
Student 2 Birthdate*

MonthDayYear
Student 2 Current Age*
Student 3 Name*

First NameLast Name
Student 3 Birthdate*

MonthDayYear
Student 3 Current Age*
Parent Guardian Details
Select number of Parent/Guardians*
Parent/Guardian 1 Name*

First NameLast Name
Parent/Guardian 1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 1 Contact Number*
Home
Parent/Guardian 1 Contact Number
Cell
Parent/Guardian 1 Contact Number
Work
Parent/Guardian 2 Name*

First NameLast Name
Parent/Guardian 2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 2 Contact Number*
Home
Parent/Guardian 2 Contact Number
Cell
Parent/Guardian 2 Contact Number
Work
Please indicate if a different adult will attend class with your child/ren
Relationship With Child
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone*
Please enter a valid phone number.
Home Phone*
Please enter a valid phone number.
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 before
Current AWS Family
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.*

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Submitter's Email*
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Winter 2022 Indoor Parent-Toddler Registration Form

When

Parent Guardian Details

Please indicate if a different adult will attend class with your child/ren