Toddle Tunes form

Phone number	*
Email Address	*
This is for	*	Free trial Waiting list Returning client I have a Gift Certificate *Free Trial N/A
Parent's Name	*
Child's DOB	*
Is your child vaccinated?	*	Yes No
Child's first name	*
Child's Last Name	*
Referred by
Select day	*
Select Time (if available)	*
Additional comments
Permission	*	I understand that I will receive emails from Frank or Lisa@toddletunes.org for class info & occasional specials (you may unsubscribe at any time).
Terms of service	*	I understand there are no refunds on class tuition whether purchased at the school or the Toddle Tunes online store and have read, understood and will abide by all policies of Toddle Tunes®.