Toronto Waldorf School - Registration for After-School Program 2022-2023

Please complete one form for each child on a monthly basis

The After-School Program is offered on all regularly scheduled school days. The program runs from 3:35pm-6:00pm for all eligible grades.

Child

First name *

Last name *

Date of birth *

Grade *

Child 2

First name

Last name

Date of birth

Grade

Child 3

First name

Last name

Date of birth

Grade

Parent 1

You will receive a confirmation by email.

First name *

Last name *

Email *

Mobile

Parent 2

First name

Last name

Mobile

Emergency Contact

First name

Last name

Mobile

Emergency Contact 2

First name

Last name

Mobile

Names of people authorized to pick up your child (in addition to parents/guardians):

Expected pick-up time(s):

The program runs from 3:35pm-6:00pm for all eligible grades

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Special notes and instructions, including information about anaphylaxis and/or allergies (please ensure that our Front Office also has this info):

Please list the dates IN OCTOBER that your child will attend the program. *

Monthly use is $20.00/day (excluding KG children). Extra fees apply to any family picking up after 6:00pm at a rate of $2.00/minute.

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Payment Method: Choose one of the payment options: *

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I have read and agree to the procedures from the After-School Program:

Please sign your name inside the box

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