WALDORF EDUCATION ASSOCIATION
OF SOUTHWEST COLORADO
PO Box 1054
Mancos, CO 81328
Phone: (970) 533 -7104
Coordinator: miriamacquired@hotmail.com
The Essential Conferences
Online Registration Form
Click here for Downloadable Registration Form
Instructions:
Please read the "Important Information" page
before registering.
Choose one or more conferences and fill in all information required.
Your registration information will not be submitted to us until you
click on the "Submit" button at the bottom of this page. You will
immediately receive a "Confirmation Form"; please download
this form and print it for your own records.
1. Please select the conference for which you are registering:
[To select more than one conference press the CTRL key and click on your mouse]
Conference Name Essential Grade Five Conference @ $745 Essential River Trip @ $695 Essential Grade Six Conference @ $745 Essential Grade Seven Conference @ $745 Essential Grade Eight Conference @ $745
2. Please provide the following contact information:
First Name Last Name Gender Male Female School Home Address Address (cont.) City State/Province Zip/Postal Code Country Home Phone Work Phone Mobile Phone FAX E-mail
First Name
Last Name
Gender
School
Home Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
Work Phone
Mobile Phone
FAX
E-mail
3. Please tell us about your Education/Background
Please list degrees, trainings, & certifications Please indicate your background in and familiarity with Waldorf Education What grades in Waldorf schools have you taught? What grade will you be teaching next Fall? Grades you have taught in other (public/private/home) schools In preparation for next Fall , with what subject(s) do you feel you need the most help?
In preparation for next Fall , with what subject(s) do you feel you need the most help?
4. Do you have any Health-Related or Physical Restrictions?
Please list any physical or medical conditions, special needs, limitations or allergies Please list any dietary restrictions
Please list any physical or medical conditions,
special needs, limitations or allergies
Please list any dietary restrictions
5. Travel Plans
I will arrive by car I would like directions by mail I would like directions by e-mail I will arrive by plane I request airport pickup on arrival Airline Flight Number Arrival Date & Time I request transportation to the airport for departure Airline Flight Number Departure Date & Time NOTE: Flights to Durango arrive several times a day. If you plan on pick-up by our shuttles, please try to schedule arrival time BEFORE 3:00 p.m. 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. 6. Payment: I have read and agree to the payment and cancellation policies set forth on the "Important Information" page. Use the "Submit" button below to complete this form, and then click on "Return to Form" at the bottom of your confirmation page. Return to this point and click here to choose your payment method.
I will arrive by car
I would like directions by mail I would like directions by e-mail
I will arrive by plane
I request airport pickup on arrival
Airline
Flight Number
Arrival Date & Time
I request transportation to the airport for departure
Departure Date & Time
6. Payment:
I have read and agree to the payment and cancellation policies
set forth on the "Important Information" page.
Use the "Submit" button below to complete this form, and then
click on "Return to Form" at the bottom of your confirmation page.
Return to this point and click here to choose your payment method.