Whidbey Island Waldorf School
2008-2009
Parent/Child Playgroups
Registration Form

~ sessions fill quickly ~
Registration is on a first-come basis, and is based on receipt of payment & registration.
There are two ways to register:
 1)  Print this form, complete information with black ink and fax to our Administration office at 360-341-5689 .
OR
2)  Copy into a new email document, complete the information and email to waldorf@whidbey.com
Your child's name:                                                           Your child's birth date:

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Parent(s) name:

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Address:                                                   City:                                     Phone:

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Email:

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Please select:
Dewdrops (Thursdays) □      Rosebuds (Fridays)  □

Winter Session   □  $200.00  (this fee includes a non-refundable $25.00 supply fee)


 Amount Enclosed:  $____________