Student's NameNoah Briscoe
Is this student currently attending a Deerstream morning class?Yes
Birthdate (mm/dd/yyyy)10/28/2012
Age on 9/1/202310
Parent's NameAmanda Briscoe
Parent's EmailEmail hidden; Javascript is required.
Parent's Phone Number(304) 488-3968
Consent I agree to these policies.
Signature
CAFE & PLAY Enrollments
Monday Cafe & Play (ages 4+) ($100)Yes, Monday C&P ($100.00)
Wednesday Cafe & Play (ages 4+) ($100)No
Thursday Cafe & Play (ages 4+) ($100)Yes, Thursday C&P ($100.00)
AFTERNOON CLASSES Enrollments
Monday Classes ($150)Intermediate Coding with Scratch (ages 8-12) ($150.00)
PRICING
Class Discounts2 (-$50.00)
Teacher DiscountNo
Total Due$300.00