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Email*
Phone*
Number of Interested Students*
Program(s) of Interest*
- Early Childhood (PC - MAK)
- Lower School (Grades 1-5)
- Middle School (Grades 6-8)
- High School Grades (9-12)
Student 1 Name*

First

Last
Student 1's Grade of Interest*
Student 1's Birthdate*
Student 2 Name

First

Last
Student 2's Grade of Interest*
Student 2's Birthdate*
Student 3 Name

First

Last
Student 3's Grade of Interest*
Student 3's Birthdate*
Student 4 Name

First

Last
Student 4's Grade of Interest*
Student 4's Birthdate*
Address*

Street Address

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Is any parent or guardian an alumnus/a of the Waldorf School of Garden City?
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- No
Please state the full name and class year of any alumni:*
Additional Info or Questions
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