Please complete this registration for each new child that is enrolling in the program. If you have already completed a registration for for your child (this year or a previous year), you do not need to do so again unless you have had changes to your information.

Name *

First Name

Last Name

Email *

Phone *

(###)

###

####

Name of adult accompanying the child to class, if different then above.

Relationship to the child

Will you have a baby in arms (non-walker)? *

Yes

Sometimes

New or Update Registration *

Is this registration form for a new child joining the program, or updating an existing child's information?

Child's Name *

Child's Date of Birth *

YYYY

Gender *

Language spoken at home *

Allergies, medical, physical or emotional conditions:

Is there anything else we should know about the child?

Emergency Contact Name *

In the event of an emergency, please provide us with an authorized emergency contact not attending the program with your child.

Emergency Contact Phone Number *

Media Release *

We enjoy using photos of children in our school literature and on our website. Names will not be identified. I give permission to the school agents to photograph myself and my children and use the photo to promote the Parent + Child Program and The Waldorf School of Tampa Bay..

Yes

Contact Info sharing *

I give permission for my contact details to be included on the group list for members of the Parent Child Program and for Suncoast Waldorf School email newsletter distribution.

Yes

How did you hear about this program?

Refund Policy *

I understand that tuition is not refundable, unless set forth by the school in special circumstances such as campus closures. Please see the "Parent + Child Refund Policy" which is posted on the Parent + Child page of the website.

Yes

Signature *

Please type your name

Today's Date *

YYYY

Online Payment *

For your enrollment to be complete, you must also complete the online payment.

I will complete after submitting this form

I have already completed by payment

Thank you, your registration has been submitted. Please complete the online payment to secure your spot in the class. Your enrollment is not considered complete until the payment is processed.

The Waldorf School of Tampa Bay

1857 Curlew Road Palm Harbor, FL 34683

727-786-8311

Contact

The Waldorf School of Tampa Bay is a non-profit educational institution 501(c)3 that welcomes students of any religion, race, national or ethnic origin. The Waldorf School of Tampa Bay is affiliated with the Association of Waldorf Schools of North America (AWSNA). Ethics Guidelines