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Nautanki Baaz Registration

Student Name*

Student Last Name

Email*

Phone*

Parent Phone Number*

Parent Name*

Address*

Each Audience Ticket Price

Ticket$45

yes, I understand that without payment, my tickets and spots will not be reserved. For mode of payment, Venmo or Zelle only.*

Venmo at 732-800-0083

Zelle at 732-800-0083

Please upload picture of the payment*