Waldorf Admissions Application

1 Student

2 Parents

3 Siblings & Relatives

4 Fee Payment

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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