Oct. 10th, 2025 - Waldorf Camp Day Registration Form

PD Camp Day- Friday Oct. 10th, 2025 Registration Form

Kindergarten to Grade 5 students only
We are happy to offer a camp day on Friday Oct. 10th since there will be no school due to the PD day.

DATE: Friday Oct. 10th, 2025
TIME: 8:30am until 5:00pm

COST: $95.00, per student

Limited space available. Registration is on a first come first serve basis.
I would like to register my child for the Waldorf Camp day on Friday Oct. 10th, 2025
Child's Name

First NameLast Name
Grade/Class
**For Kindergarten please indicate as 0
I understand that although the school and its staff will exercise reasonable care in the supervision of my child, accidents and mishaps may occur. In the case of a medical emergency concerning my child, I give my permission for Waldorf Academy staff members to use their best judgment in obtaining medical service for my child. I agree to pay all costs incurred by Waldorf Academy in obtaining emergency medical care for my child. I also understand that in the event of illness or accident, I will be notified as soon as possible.

In addition, I hereby release Waldorf Academy and its employees and agents from all liability in respect of obtaining medical care. I also understand and agree that the school is not liable for anything that may occur due to my providing incorrect information, or my failure to give full information, regarding the physical condition of my child.
Parent/Guardian Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Parent/Guardian 2 Full Name

First NameLast Name
Phone Number

Area CodePhone Number
Emergency Contact Person

First NameLast Name
Emergency Person Phone Number

Area CodePhone Number
Relationship to Emergency Contact Person
Please provide all medical, allergy, or food sensitivity information for your child
Parent/Guardian Signature

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Registration Payment
Please submit your payment via etransfer to accounting@waldorfacademy.org with a message indicating the following:

Your child's name- Oct. 10th, 2025 Camp Day

Please note: To complete the registration we must receive this registration form AND payment.
Waiver & Release

I give permission for my child to to take part in activities Camp Day.
Participant's Signature

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Date Signed

MonthDayYear
Date
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PD Camp Day- Friday Oct. 10th, 2025 Registration Form

I would like to register my child for the Waldorf Camp day on Friday Oct. 10th, 2025

Registration Payment

Waiver & Release