Musical Moments Registration
By completing this form you are registering your interest to join the upcoming term's Musical Moments series, comprising of one term of weekly hour long Musical Moments sessions with Marie Willis in Motueka/Moutere/Māpua. Further information about the content, location and payment details will be sent after registration.
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Which location would be your preference; Moutere/Motueka or Māpua? *
Parent / Care-giver Name *
Preferred parent pronoun (e.g. he / she / they / ze etc.)
Baby / Pēpē Name *
Preferred pronoun for baby / pēpē (he / she / they / ze etc.) *
Baby / Pēpē Age *
Mobile / Phone Number *
Email *
Emergency contact name *
Emergency contact phone number *
What do you hope to gain from this class series? *
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