Student's NameCallie Whitenack
Is this student currently attending a Deerstream morning class?Yes
Birthdate (mm/dd/yyyy)03/21/2017
Age on 9/1/20236
Parent's NameJoy Whitenack
Parent's EmailEmail hidden; Javascript is required.
Parent's Phone Number(984) 244-8720
Consent I agree to these policies.
Signature
CAFE & PLAY Enrollments
Wednesday Cafe & Play (ages 4+) ($100)Yes, Wednesday C&P ($100.00)
AFTERNOON CLASSES Enrollments
Wednesday Classes ($150)Storybook Adventure Drama (ages 5-8) ($150.00)
PRICING
Class Discounts3 (-$75.00)
Teacher DiscountNo
Total Due$175.00