Parent and Child Registration
Fall 2023 (13 Classes)
Registration for the Fall Parent and Child program is now open but spaces are limited. Please wait for confirmation before sending in payment. You can email the office at info@polarisschool.ca if you have any questions.
Parent/Guardian #1 Information
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number - Home
-
Area Code
Phone Number
Phone Number - Work
-
Area Code
Phone Number
Phone Number - Mobile
-
Area Code
Phone Number
Email
*
example@example.com
Parent / Guardian # 2 Information
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number - Home
-
Area Code
Phone Number
Phone Number - Work
-
Area Code
Phone Number
Phone Number - Mobile
-
Area Code
Phone Number
Email
example@example.com
Child's Full Name:
*
First Name(s)
Last Name(s)
Child's current age:
*
Date of Birth:
*
YYYY/MM/DD
Known Allergies:
*
Dietary restrictions:
*
Language(s) spoken at home:
*
Name(s) and age(s) of sibling(s). Please let us know if they will also be attending the class.
What do you hope you and your child(ren) will receive from this program?
How did you hear about Polaris/Parent and Child?
*
Word or mouth - Friend/Family
Facebook
Instagram
Website
Google search
Local Newspaper
Poster
Additional comments and/or questions?
Program and Payment Details
Please choose the day/program:
*
Thursday Parent and Child with Marc Delannoy
Friday Parent and Child with Claire Mattar
If there are no spaces on the day chosen above, are you open to participating in the other class?
*
Yes, if my preference above is unavailable, I would like to be registered in the other class.
No, I am not available on the other date, and therefore, cannot participate this term.
Fees:
*
$390 Fall Term (13 classes) - Sept. 21st or 22nd to Dec. 14th or 15th, 2023
An invoice will be sent confirming registration. Please wait for the invoice before proceeding with payment. The following payment options will be available:
*
e-transfer to ottawawaldorfprograms@gmail.com
cheque made out to Polaris School and Centre
I/We acknowledge by signing below;
*
I/We understand that we are registering for the Fall Session of Parent and Child and that we will not be reimbursed for any classes missed during this time.
Signature - Parent(s)/Guardian(s)
*
Clear
Submit
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