|
Child's Name
|
|
|
Date of Birth
|
|
|
Parent/Guardian
|
|
|
Email address
* |
|
|
Address
|
|
|
Phone Numbers
|
|
|
Diagnosis (if any)
|
|
|
Describe functioning (e.g. “verbal but not conversational”)
|
|
|
Current School/Grade Level
|
|
|
Music Social Skills Groups: Children will build and rehearse a repertoire of social skills from basic greetings to being aware of other's feelings. Children will participate in music experiences that allow them to practice these skills in a safe, fun environment! Grouped by age and functioning level. Sessions run 45 minutes and are $40/session.
|
Yes
No
|
|
Music Classes: Children will participate in theme oriented music groups (e.g. patriotic music, farm related music, earth/space music). They will learn age-appropriate songs through singing, dancing, and playing instruments. Children grouped by age. Sessions run 45 minutes and are $30/session.
|
Yes
No
|
|
Music Lessons: Lessons available on piano, vioce, guitar, drums, alto sax, and bass. Learn technique of a particular instrument in addition to reading music, music theory, and general music skills. Lessons are individual. Please call for pricing.
|
Yes
No
|
|
Please indicate instrument:
|
|
|
Speech and Language Services: Our Speech Language Pathologist will be providing quality speech, language, and reading services to children throughout the summer. Individual and small group sessions are available. Receive services for continuing work on IEP goals or other needs. Free screening for those who register before May 15th. Please call for pricing.
|
Yes
No
|
|
General Social Skills Groups: Children will participate in games, crafts, art, and music experiences while learning and rehearsing social skills in safe, fun environment! Grouped by age. Sessions run for 1 hour and are $40/session.
|
Yes
No
|
|
Individual Music Therapy Services: Sessions address cognitive, emotional, behavioral, physical, and quality of life needs. Sessions run 45 minutes and are $55/session (standard pricing).
|
Yes
No
|
|
|
