Parent Information

Teacher Information

Northern California Waldorf
Early Childhood Association

Membership Form

Please print, complete, and mail this form with a check to NCWECA.

First Name
Last Name
Mailing Address
City
Zip
Phone
E-mail

Your Position:

_____ Teacher _____Infant/Toddler _____ Pre-K/Kindergarten
_____ Adult Education

Please supply the following information about your Waldorf training:

Year:
Location:

_____ Early Childhood Training _____ Grades Training

Mail this form and your membership fee to:

NCWECA
575 Harrison Street

Sebastopol, CA 95472

$25 for one-year membership

I wish to be listed in: (please complete attached directory form)

____ Preschools Directory
____ Adult Educators Directory

Listing for the Preschools Directory

Name of Preschool
License Number
Director/Teacher
City
Phone
E-mail
Program size
(# children)
Ages

Listing for the Directory of Adult Educators

Name of Instructor
Areas Served
Phone
E-mail

How would you like to be listed?

____ Parent-Infant
____ Parent-Toddler
____ Parents & Caregivers
____ Workshops & Classes