WALDORF EDUCATION ASSOCIATION

OF SOUTHWEST COLORADO

 

PO Box 1054

Mancos, CO 81328

Phone: (970) 533 -7104       

Coordinator: miriamacquired@hotmail.com

 

The Essential Conferences

Registration Form for Downloading

 Please read the "Important Information" page before registering

    WALDORF EDUCATION ASSOCIATION OF SOUTHWEST COLORADO

                           P. O Box 1054 Mancos, Co. 81328, PH. (970) 533 -7104       

                                  Coordinator: miriamacquired@hotmail.com

 

GIVE NAME AND DATES OF THE SUMMER, 2009 CONFERENCE OR  WORKSHOP FOR WHICH YOU ARE REGISTERING:

______________________________________________________________________

 

CONTACT INFORMATION:

Your Name:_________________________________________Gender:______________

Home Mailing Address(with zip code):________________________________________

Phone:________________________Email (please print clearly):____________________

School associated with:_____________________________________________________

 

EDUCATION/BACKGROUND:

Please list degrees, training, certifications:_____________________________________
_______________________________________________________________________

Please indicate your background, familiarity with Waldorf education:________________ ________________________________________________________________________

What grades in Waldorf schools have you taught?________________________________

What grade will you be teaching next Fall?_____________________________________

In preparation for next Fall what area of the curriculum do feel you need the most help with?___________________________________________________________________________________________________________________________________________

Grades you have taught in other (public/private) schools:__________________________

 

HEALTH/PHYSICAL RESTRICTIONS:

Please list any physical, medical conditions, needs, limitations or any allergies: ________________________________________________________________________

Please list any dietary restrictions:____________________________________________

________________________________________________________________________

 

TRAVEL PLANS:

_____ I will arrive by car; I would like to receive directions by:_____mail;    _____email

_____ I will arrive by plane; ______ I request airport pick-up;  Airline_______________

                                                           Flight #_________, Arrival Time:_______________

I request transportation to the airport for departure on (date, time):__________________

_______________________________________________________________________

NOTE:  Flights from Denver to Durango arrive several times a day. 

Please try to schedule arrival time BEFORE 3p.m. if you plan on pick-up up by our shuttles.  

Conferences start at approximately 4:00 p.m. of the first date listed.  If you arrive

BEFORE the first day of the conference, lodging may not be available at Deer Hill.

 

Payment:  I have read and agree to the payment and cancellation policies set forth on the

attached Information Sheet.  I am enclosing my deposit:_____/full course fee:_____. 

Signed:________________________________________Date:____________