Honeysuckle Garden (Ages 0-5) Honeysuckle Garden Application Fields marked with an * are required Academic Year * 2024-2025 Student First Name * Student Last Name * Date of Birth * Gender * Male Female Address * Previous School Experience (if applicable) Divider Parent/Guardian First Name * Parent/Guardian Last Name * Relationship to Student * Contact Number * Email * Home Address (if different from above) Divider Special Educational Needs (if any) Languages Spoken at Home * Interests and Hobbies Divider Waldorf Education Understanding * Mindful Media * Yes No We provide a technology free/screen free education and environment. While we do not hold the expectation that children will be completely screen free/tech free at home, we do expect parents to sign a Mindful Media Agreement upon acceptance that requires you to agree in good faith to promote the value of limited screen time at home. Is this something you feel you can agree to? Divider Child’s Learning Profile * Family Involvement * Additional Information Agreement and Signature * I certify that the information provided is complete and accurate to the best of my knowledge. * Date * If you are a human seeing this field, please leave it empty.
