Student's NameVirginia Thielman
Is this student currently attending a Deerstream morning class?Yes
Birthdate (mm/dd/yyyy)06/10/2017
Age on 9/1/20236
Parent's NameErin Thielman
Parent's EmailEmail hidden; Javascript is required.
Parent's Phone Number(984) 234-8945
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
Monday Classes ($150)NO Monday Class
Wednesday Classes ($150)NO Wednesday Class
Thursday Classes ($150)Introduction to American Sign Language (ages 5-10) ($150.00)
PRICING
Class Discounts1 (-$25.00)
Teacher DiscountNo
Total Due$225.00