Student's NameDarren Springfield
Is this student currently attending a Deerstream morning class?Yes
Birthdate (mm/dd/yyyy)01/14/2012
Age on 9/1/202311
Parent's NameWhitney Springfield
Parent's EmailEmail hidden; Javascript is required.
Parent's Phone Number(336) 263-6871
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)Yes, Wednesday C&P ($100.00)
AFTERNOON CLASSES Enrollments
Wednesday Classes ($150)Deerstream Theatrical Society (ages 10+) ($150.00)
PRICING
Class Discounts2 (-$50.00)
Teacher DiscountNo
Total Due$300.00