Playtoria Inc. will be collecting your personal information for the purposes of supporting you and/or your family's needs and tailoring our services for you individually. A Playtoria staff member can fill this intake form out together with you or you can complete it on your own. We will use this information internally within our team to better understand and serve you. We will never share your information with any party outside of Playtoria Inc. without your prior written consent.

I understand that my information will only be used within the company to serve me and/or my family on file. I understand that I can revoke my consent to keep my information on record at any time. I understand that in the event I would like my information erased from company records, it may take 1 - 5 business days to complete this request.