Infant Application Form

Applications are due with a non-refundable one-time family application fee of $75.

Our Infant Care Program is flexible to meet the diverse needs of our parents. Hours of care are between 9AM-3PM. Please let us know what days and hours work best for you:

Parent / Guardian Information

Other Authorized Person(s)

If child does not live with both parents, please describe child’s living situation:

School correspondence should be addressed to: mother, father, both, other (specify)

Names and ages of siblings:

Does your child have any siblings? How do they get along?

Are there relatives with whom the child is especially close?

What language(s) are spoken at home?

Which holidays does your family celebrate together?

Previous Waldorf experience (Check all that apply):

None

Camp

Playgroup

Nursery/Kindergarten

Please list the names of other school(s) and classes attended & dates attended

If you wish to share details of your child’s previous school experience, please use the following space:

Your reasons for choosing a Waldorf-based curriculum.

How did you hear about our school?

Has your child had any serious or chronic illnesses, accidents, or injuries?

Any food or other allergies?

Present medication, if any?

Describe a typical breakfast, lunch and dinner for your child.

In order to help us better understand your child, please share with us the experience of your pregnancy, birth or adoption, and your child’s first year.

Present sleep schedule: Rising time, nap time(s) and bedtime:

What does your child enjoy doing?

As parents, what do you enjoy doing with your child?

How many hours per week is media part of your child's life?

Television

Videos

Computers

If asked by the teacher to limit television and video viewing, movie going, video-game playing or computer time for your child, would you have any difficulty complying with this request? Please explain your answer:

Describe developmental milestones such as crawling, standing, walking, talking, toilet training, etc.

Has your child been tested, assessed, or recommended for any special needs services. If so, please describe. Send copies of all reports and documentation related to the special needs of your child with this application.

Does your child have learning and/or behavioral challenges not addressed in the previous question? If so, please describe.

Does your child have any strong likes or dislikes? (food, clothing, noises, etc.)

Who disciplines your child at home, and what form(s) of discipline are used?

Are there any extenuating circumstances in your family that would be helpful for us to know about to better serve your child?

Is there anything else you would like us to know about your child?