Thread #4454879

Workshop Registration
"Here and Now: Reevaluating the Needs of Parents and Young Children in Early Childhood Settings"

Saturday, October 29, 2022
Our website has further details about the workshop.
Participant Contact Information
Name*

First NameLast Name
Your Pronouns

she/her/hershe/him/histhey/them/theirsOther
E-mail*

Confirmation Email
Phone (primary)
Phone (other)
Please tell us a bit about yourself:
What is your affiliation with Waldorf Education?*

TeacherAdministratorPedagogical ChairFaculty ChairBoard memberOther
How many years have you been teaching?*
Name of your school*
Suggestions are listed but you can type any school and location
Have you completed a FULL Waldorf Teacher Training Program?*

YesIn processNo
Which institution?*
If you graduated from the Waldorf Institute of Detroit, please enter SUNBRIDGE.
Program*
Suggestions are listed but you can type any program name
Graduation year*
What do you hope to gain from this event?*
How did you hear about this event?*

Sunbridge websiteSunbridge emailMy schoolFlier at schoolWord of mouthPrint advertisementAssociation of Waldorf Schools of North America (AWSNA)Waldorf Early Childhood Association of North America (WECAN)Other websiteAttended previouslyOther
Payment Information
Check here if you will be paying in Canadian dollars
If your school is sending more than one registrant, please take advantage of our volume discount by using discount code VOLUME.

Qualification for coupon use will be verified before the event begins.
Please Note: Because you are a Sunbridge program graduate, you are entitled to a 15% alumni discount (cannot be combined with other discounts). Please claim this by entering ALUMNI in the discount code field below, if you are paying by credit card.

Qualification for coupon use will be verified before the event begins.
Please Note: Because you are a current Sunbridge program student, you are entitled to attend this workshop for free. Please claim this by entering CURRENT in the discount code field below.

Qualification for coupon use will be verified before the event begins.
Please Note: Because you will be paying in Canadian dollars, you are entitled to a 25% discount. Please claim this by entering CANADA in the discount code field below.

IF you are also entitled to another discount, such as Alumni, Current Student, etc, please contact our Finance Assistant (845-425-0055 / financeassist@sunbridge.edu) for an additional refund, since this form cannot handle multiple discounts automatically.

Qualification for coupon use will be verified before the event begins.
Payment Options:*

Credit Card: I acknowledge a 3% credit card surcharge to help Sunbridge cover the cost of processing feesCheck: I would like to pay by check OR my school will pay by check
Our pay-by-check option is available only to registrants who can send their check early enough so that it arrives at our office no later than the Tuesday prior to the event. If this does not apply to you, PLEASE CHOOSE THE CREDIT CARD OPTION.

If you qualify for a discount, please list the coupon type in the "Leave a Message" box at the bottom of this form
NOTE - The number of hours for this event has been removed from the payment options belwo, but if this form is used as a template in the future, the # of hours should be added back in if it doesn't impact other workshops.
Entrance to event*

OCT 29: “Here and Now", $165, Online workshop via Zoom
Coupon Code:
Total amount to pay by check in dollars
Please mail your check for the above amount today to: Sunbridge Institute, Finance Office, 285 Hungry Hollow Road, Chestnut Ridge, NY 10977. Write "September 2022 DEI Workshop" on your check. Submit this form so that we are notified of your intention to register. A space will be held only when payment has been received. You are entitled to whichever discount, if any, that you qualify for (only one discount per person), which can be included with your payment.
Entrace to Event*

OCT 29: Here and Now $165.00
Coupon Code:
Coupon Code: ALUMNI
Coupon Code: CURRENT
Coupon Code: INVOICE
Coupon Code: VOLUME
Coupon Code: CANADA
Discount % in decimals
Amount to Charge

Is the billing address above the same as your home address?*

YesNo
Please provide your home address below:
Home address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Payer email*
Disability?

Check here if you have a disability that may require accomodation
Please provide details about the accomodation that will be necessary for your attendance.*
Certificate

I would like to receive a Certificate of Completion
Please note that in accordance with our licensing requirements, in order to receive a Certificate of Completion this event requires 100% real-time attendance. Certificates will be emailed the week after the event.
CTLE Professional Development Credits

Please provide me with the paperwork for CTLE Professional Development Credits
NRRF*

I acknowledge that $25 of my tuition is a non-refundable registration fee
Photo Release*

I give permission for any photograph or video I may appear in while participating in this Sunbridge Institute event to be used for the purpose of Sunbridge publicity. Permission also extends to AWSNA's and/or WECAN’s occasional requests to use our photographs. [In the event you choose not to give this permission, an identifying photograph of you must be provided for identification purposes. Contact igreenstein@sunbridge.edu for further information.]
Cancellation policy*

By checking this box, I understand that Sunbridge Institute reserves the right to make faculty substitutions when necessary. Sunbridge also reserves the right to cancel this offering up to 24 hours before the scheduled start time. If Sunbridge cancels, all registrants will be notified and will receive a full refund. If the registrant cancels, he or she will receive a full refund less any non-refundable registration fee, provided that cancellation is made at least 24 hours before instruction begins. No refunds will be given for cancellations made less than 24 hours before this event begins, or for "no-shows."
Medical Insurance policy*

Sunbridge’s institutional insurance covers student injuries caused by accidents that occur on campus, but not student illnesses or off campus injuries. Please note that Sunbridge's insurance coverage is secondary to the student's primary insurance. If you do not have health insurance or your health insurance does not cover you in New York, we strongly recommend that you purchase traveler's insurance that will protect you, especially for illness and/or any off campus accidents.
Leave a message, if desired
In all of its dealings, including its admissions, educational, and employment practices, it is the policy of Sunbridge Institute, its Trustees, officers, employees and other duly authorized agents not to discriminate against any individual or group for reasons of race, color, creed, gender, age, culture, ethnicity, national origin, marital status, sexual orientation or identification, or mental or physical disability.

For more details about this event, please contact the Admissions Office at 845-425-0055 X20 or by email at info@sunbridge.edu.

For technical difficulties: Most difficulties can be resolved by trying a different device or browser, or checking validity of credit card. If this does not help, feel free to contact the registrar, and we appreciate your patience, as our business hours are part-time.
Please verify that you are human*
Should be Empty:

Workshop Registration

"Here and Now: Reevaluating the Needs of Parents and Young Children in Early Childhood Settings"

Participant Contact Information

Please tell us a bit about yourself:

Payment Information