(Virtual) Taiko Together Registration
Child's Full Name *
What name would your child like to use in the classroom? *
Child's Date of Birth *
MM
/
DD
/
YYYY
Adult's Full Name *
Please put the primary adult participant's name (additional adult participants can be added below)
What name would you like to use in the classroom? *
Please put the primary adult participant's name (additional adult participants can be added below)
Email Address *
This email address will be used to receive the Zoom link for the virtual class.
Primary Contact's Phone Number *
Emergency Contact's Full Name *
Emergency Contact's Phone Number *
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