Registration Form | Play Tunes Institute

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REGISTER

First Name

Last Name

Email

Gender

Male

Female

Date Of Birth

Phone

Address

Alternative Contact Person

Thank you! We’ll be in touch.

To be filled if the applicant is below 18 years old

Parents/Guardians Name

Contact person for Scheduling

School

Does your child have any allergies/medical condition

Does your child have any learning difficulties such as (Dyslexia, Autism, Down Syndrome)?

I agree to the

terms and conditions

Thanks for submitting!

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