Children’s Play Garden

A Waldorf Parent/Toddler Program

Registration Form
Sign up for: Price each

Session One: Children’s Play Garden (9/15-10/27) Tuesdays 9:00—11:00 Seven Sessions

Family (Parent and Child—two members) $20—$30* per class day $140—$210
Adult (Single Sign-up—no child) $20 per class day
$140
Supply Fee $20 per session $20

Session Two: Children’s Play Garden (11/3-12/15) Tuesdays 9:00—11:00 Seven Sessions

Family (Parent and Child—two members) $20—$30* per class day $140—$210
Adult (Single Sign-up—no child) $20 per class day
$140
Supply Fee $20 per session $20

Total:

Adult Participant Name:

Child Participant Name:

Child ‘s DOB (mm/dd/yy)

(children should be aged 1.5—3 years old)

Address:

Phone:
E-mail:

How did you hear about us? Messenger Friend:

Sono-Ma Other:

*Note: A sliding scale is offered as part of our intention to provide a place and space for parents and
children to thrive. We hope not to turn anyone away. Please consult us about your needs.

Please make checks out to Marcia Larkin and mail to:

404 Eddie Lane, Sebastopol, CA 95472
(707) 823-2062