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Application

THANK YOU FOR taking the time to complete this application. Please use the form below or print and bring in an application, together with the application fee of $50 and a recent photo of your child, to Ashwood Waldorf School. If you would like to apply for tuition assistance, please notify the office, and we will send you the tuition assistance packet. Please feel free to contact us with any questions you have using our contact form.

Student Information

Name*

Gender*
 Male Female

Birth Date

Date of Desired Enrollment

Grade

Early Childhood Programs
 3 days 5 days

Extended Day Program (# of days)

Please describe your child’s previous or current school experience, including any extra-curricular activities that your child participates in on a regular basis.

What are you child's special interests and activities?

Does your child have any special needs, disabilities or specific medical problems?

How would you characterize your child’s peer relationships?

If your child watches television, how many hours per week does he/she watch?

If your child watches videos, how many hours per week does he/she watch?

If your child uses the computer, how many hours per week does he/she use it?

Please use this space to tell us about your child’s home environment and list any additional Information you think the teacher should know about your child.

What is the name of your child’s current teacher and his/her school phone number?

Names and birth dates of siblings:

Parent/Guardian Information

Mailing Address:

Mother's Name:

Home Phone:

Cell Phone:

Address (if different):

Occupation:

Work Phone:

Father's Name:

Home Phone:

Cell Phone:

Address (if different):

Occupation:

Work Phone:

How did you learn about Ashwood Waldorf School?

Please tell us a few reasons why you are applying to Ashwood:

What days are convenient for you to meet with the teacher?

If parents have separate addresses, child lives with:
 Mother Father Both Other

Name, if other:

General correspondence should be addressed to:
 Mother Father Both Other

Name, if other:

This application form is not a binding contract. In the event that the class is fully enrolled, your child’s name will be placed on a waiting list, and you will be notified of the first available space for your child. We will not accept a child until we guarantee a placement.

Ashwood Waldorf School does not discriminate on the basis of race, religion, national origin, color, sex, age, or disability.

Your Name:
Your Email:

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