Student's NameEli MInor
Is this student currently attending a Deerstream morning class?Yes
Birthdate (mm/dd/yyyy)01/26/2013
Age on 9/1/202310
Parent's NameMolly Minor
Parent's EmailEmail hidden; Javascript is required.
Parent's Phone Number(302) 299-9184
Consent I agree to these policies.
Signature
CAFE & PLAY Enrollments
Thursday Cafe & Play (ages 4+) ($100)Yes, Thursday C&P ($100.00)
AFTERNOON CLASSES Enrollments
Thursday Classes ($150)NO Thursday Class
PRICING
Class Discounts1 (-$25.00)
Teacher DiscountNo
Total Due$75.00