Child's Name

Child's Birthdate

Child's Gender Child's Gender Male Female Prefer not to say

Caregiver's Name

Address

Phone

Email Address

Class Choice Class Choice Monday and Wednesday - 9:00-10:15 Tuesday and Thursday - 9:00-10:15

I agree to the following: All fees are non-refundable. Babies in arms at welcome to attend with siblings at no extra charge. Snow days may occur, please call the school if you need to know if class is cancelled. No make-up days for any reason including snow days. I agree to the following: All fees are non-refundable. Babies in arms at welcome to attend with siblings at no extra charge. Snow days may occur, please call the school if you need to know if class is cancelled. No make-up days for any reason including snow days. I agree

Registration is not complete until $125 payment remitted. Registration is not complete until $125 payment remitted. I will pay online I will mail or drop off a check written to River Valley Waldorf School with Parent/Child in memo