EARTH SCHOOL REGISTRATION, KIDS

REGISTRANT'S FIRST NAME*

REGISTRANT'S LAST NAME*

CHILDS AGE

PARENTS NAMES

EMAIL

PHONE*

SELECT WORKSHOP AND PAYMENT BELOW

ES SATURDAYS PER/DAY - $50

ES SATURDAYS 4/WKS - $190

HOME SCHOOL PER/DAY - $48

HOME SCHOOL 4WKS - $180

PRE-SCHOOL PER/DAY - $32

PRE-SCHOOL 4/WKS - $120

WELCOMING YOUR INNER WISDOM 6/WKS - $235

GENERAL DEPOSIT - $0

NOTES OR ANY OTHER SPECIFIC COMMENTS:

Thank you!

Can't wait to see you!