Parent Tot Signup

Child's Info

Child's Name

Date of Birth

Parent/Guardian Name(s)

Relationship to Student

Email

Phone

Mailing Address

City

State/Province

Zip/Postal

Questions and Terms

Will there be someone other than the above named parents/guardians that will be bringing the child to class? If so, please provide their name and phone number here:

What areas of child development and parenting are you especially interested in exploring?

What do you hope to gain from this program with your child?

Do you or your child have any allergies or medical conditions we should be aware of?

Does your child have any special needs?

Additional Notes or Comments

I/We understand the following:

- Full payment for each session of Parent-Tot is required to save your spot.

- There is no discount or refund for absence or illness. Families are entitled to a prorated refund of the fee, less $75 if they decide to withdraw after the first class. SWS must be notified in writing before the second class.

-Due to the classroom size, only one caregiver per child can come to each class.

- Sierra Waldorf School is committed to fostering a fully inclusive school community and welcomes families of all races, ethnicities, nationalities, religions, socio-economic backgrounds, sexual orientations, and spiritual values.

- I will check my child for symptoms of illness before coming to class, and keep them home if they show any symptoms.

Terms Agreement

I agree to the terms set forth above.

Session Reservation// $300 per session

Parent & Tot Sessions

WINTER January 10th- March 14th

SPRING March 21st- May 23rd

Total

Payment

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Pay with Stripe

Name on Card

First

Last

Mailing Address is Same as Billing

Billing Address

Address

Address Line 2