Service & Payment Plan
*
Musical Treats
Price
$80.00
Guardian First Name
*
Guardian Last Name
*
Guardian Email
*
Guardian Phone Number
*
Student First Name
*
Student Last Name
*
Student Date of Birth
*
Student Address
*
Allergies/Medical Conditions
*
Other pertinent info
Emergency Contact Name & Phone Number(s) (in the event guardian cannot be reached)
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By checking the below box, I state that I have read, understood, and agree to the linked Terms & Policies.
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X
Payment Information
*
Payment amount:
$80.00
Total to pay:
$80.00
Submit