Summer Program brochure 2010 (Ver.2 by ibm41470

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									                                                                                             Corvallis Waldorf
                                                                                                  School


                                          Please return application form to:

                                          Corvallis Waldorf School
                                          c/o Summer Program
                                          3855 NE Highway 20
                                          Corvallis, OR 97330
                                          541-758-4674

                                          www.corvalliswaldorfschool.org
   Corvallis Waldorf School
                                          Make Checks payable to:
offers a developmentally appropriate      Corvallis Waldorf School
approach to education. We strive to
cultivate a lifelong passion for learn-
                                          Please email our enrollment coordinator for more
                                          information:
                                                                                             Summer Program
        ing by providing a rich,
    diverse and dynamic academic
                                          enrollmentcoordinator@corvalliswaldorfschool.org
                                                                                                 2010
               curriculum.


   Offering Pre-K through 8th
             Grade                                                                              July 5– 30
                                                                                              Monday—Friday
                                                                                             Half & Full Day Programs

                                                                                                 3855 NE Highway 20
                                                                                                  Corvallis, OR 97330
                                                                                             www.corvalliswaldorfschool.org
                                                                                                                           Registration Form                         Summer 2010
                                    First Name                                                                           Last Name


                                    Age                    Grade as of Sept. 2010           Birth date


                                    Child’s Doctor                                                                      Phone #


                                    Child’s Dentist                                                                     Phone #



    Dates & Times                   Allergies and Medical Conditions


                                    Parents/ Guardians

     July 5 – 30                    Home Address                                                            City                     Zip


                                    Parent/Guardian 1 Home Phone                                 Cell Phone                                Work Phone

    Sunflower Cottage               Parent /Guardian 2 Home Phone                                 Cell Phone                                Work Phone

          (3 to 6 yrs)              Emergency Contact Person                             Home #                              Cell#                                       Work#

     Monday through Friday          In the case of an emergency, I hereby give CWS consent to have my child receive medical treatment and transportation at my expense.
                                    Parent/Guardian Signature _____________________________________________________________________
         from 8:30-12:30            Insurance Co. & Policy # _______________________________________________________________________

                                    Statement of Non-Discriminatory Policy
                                    The Corvallis Waldorf School welcomes students of any race, sex, creed, religion, national origin, or ethnicity in its admission policy and the conduct of its

Earth, Air, Fire & Water            educational programs.
                                    Check Box for Program choice (Registration deadline is June 1, 2010):
      (Grades 1-5)                                                                              4-weeks (7/5 - 7/30)            Session 1 (7/5 – 7/16)            Session 2 (7/19 – 7/30)
                                                                         (3-
                                                      Sunflower Cottage (3-6yrs)                 4-weeks -$600                    Session 1- $350                  Session 2- $350
     Monday through Friday                                                   1-
                                            Earth, Air, Fire & Water (Grades 1-5)             Full Day (8:30 PM – 3:30 PM)
                                                                                                 4-weeks - $1000                  Session 1- $600                  Session 2- $600
   From 8:30-12:30 & 8:30-3:30
                                                                                              Half Day (8:30 PM – 12:30 PM)
                                                                                                 4-weeks - $600                   Session 1- $350                  Session 2- $350
                                                                                 6-
                                                           Middle School (Grades 6-8)         Creative Writing Workshop (10:30 PM – 12:30 PM)
Middle School Workshops                                                                          4-weeks - $400                   Session 1- $225                  Session 2- $225
                                                                                              Fundamentals in Archery, Fencing, Javelin (1:00 PM – 3:30 PM)
      (Grades 6-8)                                                                               4-weeks - $400                   Session 1- $225                  Session 2- $225
                                                                                                Both Middle School Programs
     Monday through Friday
                                                                                                 4-weeks - $700                   Session 1- $400                  Session 2 -$400
    10:00 - 12:30 & 1:00 - 3:30
        Creative Writing                                                                                           Total Amount Paid:___________ Date: ____________

                &                              A 50% deposit is required upon registration with the remainder due upon the first day of the program.
                                                                                Please make check payable to: Corvallis Waldorf School.
Fundamentals in Archery, Fencing,
                                    For office use only:
         Javelin & Discus
                                    Date received ______________ 50% deposit received ___________ Balance owing _____________               Paid in full ____ Check # _______ Cash _______

								
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