Waldorf Admissions Application

1 Student

2 Parents

3 Siblings & Relatives

4 Fee Payment

Student Information
Applicant's Name*

First

Last
Preferred Name or Nickname
Gender*
Date of Birth*
Birthplace
Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Phone*
Country of Citizenship*
Present Grade*
School District
Program of Interest*
Applicant for Grade*
Applicant for Grade*
Applicant for Grade*
Applicant for Grade*
Entering September of*
Previous Schooling

The Waldorf School of Garden City may contact the student's present school for clarification or further information. Please list the student's present school.
Present School
Name of Principal / School Head
Title
Name of Guidance Counselor / Homeroom Teacher
Position
School Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Previous School
Previous School Name
Grade Completed
Year
About the Applicant
How did you hear about the Waldorf School of Garden City?
Describe the reason the Waldorf School of Garden City is a good fit for your child.*
At the WSGC we want to nurture the whole human being. Tell us what makes this an appealing concept?*

Parent Information
Student Lives with*
- Parents
- Parent A Only
- Parent B Only
- Guardian
Are any of the Parents or Guardians Alumni of the Waldorf School of Garden City?
- Yes
- No
Please state full name and class year of all parent alumni:*
Parent A
Name*

Prefix

First

Last
Address (if different from Applicant)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Phone*
Email*
Occupation*
Employer*
Business Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Business Phone
Parent B
Name

Prefix

First

Last
Address (if different from Applicant)

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Phone
Email
Occupation
Employer
Business Address

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Business Phone

Siblings
Sibling 1
Sibling 1's Name
Sibling 1's Birthdate
Sibling 1's Present Grade
Sibling 1's Present School
Sibling 2
Sibling 2's Name
Sibling 2's Birthdate
Sibling 2's Present Grade
Sibling 2's Present School
Sibling 3
Sibling 3's Name
Sibling 3's Birthdate
Sibling 3's Present Grade
Sibling 3's Present School
Relatives

If any relative is, or has been a student at Waldorf School of Garden City, please provide their name, relationship to applicant, and graduating class.
Relative 1's Name
Relative 1's Relationship
Relative 1's Graduating Class
Relative 2's Name
Relative 2's Relationship
Relative 2's Graduating Class

Application Fee Payment
Enrollment Application Fee

Price: $75.00
Billing Name*

First

Last
Billing Address*

Street Address

Address Line 2

City

State / Province / Region

ZIP / Postal Code

Country
Credit Card*

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code

Cardholder Name
Confirmation

In consideration of the undertaking by the Office of Admissions to process this candidate's Admission Application and related forms the undersigned agrees that the information furnished on the Application form, together with all information and materials of any kind received by the Admissions Office from any source, or prepared by anyone at its request, shall be completely confidential and shall not be disclosed to anyone, including the candidate and the candidate's family, except that the Director of Admissions many, for official purposes at his or her discretion, disclose any part thereof to such person or persons as he or she deems advisable.
Parent or Guardian's Digital Signature*
Today's Date*

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