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Mainly Music 2024 Waitlist Registration
We plan to run Mainly Music sessions on Wednesdays mornings (times to be confirmed) in 2024. Please complete this form if you would like to be added to our waitlist.
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Parent(s) Name & Surname(s):
*
Your answer
Home Address:
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Your answer
Phone Number:
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Your answer
Email:
*
Your answer
Please indicate which is your preferred means of contact:
*
Phone
Email
List the given name, surname and date of birth for each child:
*
Your answer
How did you find out about Mainly Music? (e.g. website, advertisement, friend/relative - if you have a connection with a family in our group, please let us know who it is)
*
Your answer
If another caregiver (e.g. grandparent) is to regularly attend with your child(ren) and be the primary contact, instead of the parent(s), please provide the following additional details:
Caregiver Name & Surname:
Your answer
Caregiver Home Address:
Your answer
Caregiver Phone Number:
Your answer
Caregiver Email:
Your answer
Caregiver's relationship to child(ren):
Your answer
Caregiver's preferred means of contact:
Phone
Email
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