Honolulu Waldorf School Parent Child - Quarter 3
January 13, 2025-March 7, 2025
Child's Name
First Name
Last Name
Age
Birthdate
-
Month
-
Day
Year
Date
Gender
Male
Female
Prefer not to answer
Parent/Guardian #1
First Name
Last Name
Relationship to Child
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
Employer
Phone Number
Please enter a valid phone number.
Email
example@example.com
Parent/Guardian #2
First Name
Last Name
Relationship to Child
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation
Employer
Phone Number
Please enter a valid phone number.
Email
example@example.com
Child's Allergies (if applicable):
Name and ages of siblings
In what other programs does your child participate in?
Day(s) Attending
Monday (6 days) - $300
Tuesday (7 days) - $350
Wednesday (8 days) - $400
Thursday (8 days) - $400
Friday (8 days) - $400
Second Day - $175
Second Day attending (if applicable):
Monday
Tuesday
Wednesday
Thursday
Friday
Please indicate your 1st, 2nd, and 3rd choices for attendance
1st
2nd
3rd
Monday
Tuesday
Wednesday
Thursday
Friday
My Products
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Parent Child - Quarter 3 - Mondays (6 days)
January 13, 2025-March 7, 2025
$
300.00
Quantity
1
2
3
4
5
6
7
8
9
10
Parent Child - Quarter 3 - Tuesdays (7 days)
$
350.00
Quantity
1
2
3
4
5
6
7
8
9
10
Parent Child - Quarter 3 - Wednesday, Thursday, and Fridays (8 days)
$
400.00
Quantity
1
2
3
4
5
6
7
8
9
10
Parent Child - Quarter 3 - 2nd Day
$
175.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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