Redmond Toddler Group – Registration Form

Please print very clearly and carefully. Thank you!

Adult Student

First Name ______Last Name ______

Spouse/Partner

First Name ______Last Name ______

Additional Adult attending class more than 3x/qtr without Primary Adult Student present (i.e. nanny)

First Name ______Last Name ______

Relationship to Child ______

Child’s First Name ______Last Name ______

Twin First Name ______Last Name ______

Child’s Birthdate – Month ______Day ______Year ______

Child’s Age as of August 31 of this year (in months) ______

Sibling 12 months or younger attending class – First Name ______Birthdate ___/___/___

Address ______

City______Zip ______

Home Phone ( ) ______Cell Phone ( ) ______

Email Address (required) ______

I am registering for –

1st Choice 2nd Choice

Class Letter ____ Class Letter ____

Time/Day ______Time/ Day ______

I understand these are the basic requirements of the class-

·  Attend once a week with my child during the designated day and time. These classes include a parent education discussion, free play, art, and a circle time.

·  Attend 3 evening presentations a quarter without your child (various topics and opportunities during the quarter).

·  Participate in the annual carnival fundraiser (usually held in March) by working one shift and donating a baked good for the cake walk.

·  Pay a once a year, non-refundable reservation fee of $100 ($50 if joining only for spring quarter).

·  Pay tuition on time (by the end of the first week of each quarter) or be subjected to a late fee.

$170-195 per quarter depending on the class (this includes $50 fee to LWTECH).

·  Pay applicable fees – Discounted Twin/Multiple Rate ($100), Sibling over 12wks ($30), Siblings over 6 months ($50), additonal adult attending for credit ($50). Tuition and Fees subject to change.

·  Two credits are earned from the Lake Washington Institute of Technology for $50 per quarter (included in tuition).

Signature ______Date______

I would like to make a tax deductible donation to RTG of $______We have matching funds from______

How did you hear about RTG? □ Alumni □ Friend □ Website □ Open House □ Farmers Market □ Facebook

□ Other (please specify) ______

One last thing! Be more involved with the school by volunteering to be a Parent Leader and help teachers with tasks such as weekly emails to the class, assisting new students, collecting tuition, etc.

Are you interested in being a parent leader for your class? Circle - yes no