FINANCIAL AGREEMENT

QUAIL CHICKS PLAYGARDEN

INTEREST FORM
We are considering adding a program for 3-year-olds! Lovingly dubbed the Quail Chicks Playgarden, this program will weave Waldorf-inspired approaches into a nature-based experience for the wee ones. Please take the community survey below to let us know that you're interested and to indicate which days work best for you.
I. CONTACT INFORMATION
Your Name*

First NameLast Name
Your Email*
Phone Number*

Area CodePhone Number
II. PROGRAM INFORMATION
Your Child's Name*

First NameLast Name
Child's Date of Birth*

MonthDayYear
What days would you be interested in? (Note: program days are from 9 AM to 1 PM)*

MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAY
Anything else?
Should be Empty:

QUAIL CHICKS PLAYGARDEN