Registration - Play Tap Go Play Tap Go | Music classes for kids in the Minneapolis

Class Total

Price: $0.00

Class Total - family discount

Price: $0.00

Parent Information

Parent Name*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Home Phone

Cell Phone

Email*

Student Information

Number of Children to Register

Child One

Child 1 Name

First Last

Child 1 Age

Child 1 Birthdate

Child 1 Gender

Male
Female

Child 1 Class Location:*

Child 1 Class Day:*

Child 1 Class Time:*

We're sorry but this particular class is full for this day & time. If you would like to be placed on a waiting list, you may complete the rest of this form and we will contact you when it opens up.

Child Two

Child 2 Name

First Last

Child 2 Age

Child 2 Birthdate

Child 2 Gender

Male
Female

Child 2 Class Location:*

Child 2 Class Day:*

Child 2 Class Time:*

We're sorry but this particular class is full for this day & time. If you would like to be placed on a waiting list, you may complete the rest of this form and we will contact you when it opens up.

Child Three

Child 3 Name

First Last

Child 3 Age

Child 3 Birthdate

Child 3 Gender

Male
Female

Child 3 Class Location:*

Child 3 Class Day:*

Child 3 Class Time:*

We're sorry but this particular class is full for this day & time. If you would like to be placed on a waiting list, you may complete the rest of this form and we will contact you when it opens up.

Child Four

Child 4 Name

First Last

Child 4 Age

Child 4 Birthdate

Child 4 Gender

Male
Female

Child 4 Class Location:*

Child 4 Class Day:*

Child 4 Class Time:*

We're sorry but this particular class is full for this day & time. If you would like to be placed on a waiting list, you may complete the rest of this form and we will contact you when it opens up.

Waivers, Payment

Total

(Total each month, from September through June)

$0.00

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Agree to Billing Terms*

I authorize Play Tap and Go, LLC to debit the credit card or Paypal account indicated in this web form, for the noted amount on registration form above. This payment is for monthly, in advance, tuition for classes instructed by Play Tap and Go, LLC. Billing months are September through June and go into effect on the day of the online registration submission. I understand that this authorization will remain in effect until the schedule end date, or until I cancel it in writing which ever comes first, and I agree to notify the business in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment date falls on a weekend or holiday, I understand that the payment may be executed on the next business day. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this web form.

I agree

Agree to Limit of Liability*

Play Tap and Go instructors make every effort to ensure a safe learning environment for all kids! I will not hold Play Tap and Go, LLC, it’s employees, subsidaries, or affiliates liable in the unlikely event my son/daughter sustains an injury. I agree to allow my child to be in photos/videos as it relates directly to the advertising and promotional purposes of this program. By signing below, I agree to the above policies, terms, & conditions for the participation of my son/daughter in Play Tap and Go,LLC programming.

I agree

Credit Card*

Card Details

Cardholder Name

Name

This field is for validation purposes and should be left unchanged.