Music Together® Within Therapy Adaptive Class
Information and Registration Form
SPRING 2012
PRESCHOOL/SCHOOL-AGE Adaptive CLASSES
COME AND EXPERIENCE THE JOY OF MUSIC TOGETHER® CLASSES WITH YOUR CHILD WITH SPECIAL NEEDS. CLASSES WILL BE LED BY MINDY ARNDT, A BOARD-CERTIFIED MUSIC THERAPIST WITH OVER 25 YEARS EXPERIENCE WITH CHILDREN AND ADULTS WITH SPECIAL NEEDS AND DISABILITIES.
MUSIC THERAPY PRINCIPLES AND MUSIC TOGETHER REPERTOIRE WILL BE COMBINED TO ADDRESS THE DEVELOPMENTAL NEEDS OF YOUR CHILD IN A SMALL GROUP SETTING.
THESE PARENT/CHILD CLASSES WILL MEET ONCE A WEEK FOR 10 WEEKS AND ARE 45 MINUTES LONG. SIBLINGS AND ADDITIONAL ADULT FAMILY MEMBERS ARE WELCOME. THERE WILL BE A MAXIMUM OF 4 FAMILIES PER CLASS.
Tuition: *****$250 - CHILD (see below
for discount info)
***** $ 15 - new family registration
TUITION INCLUDES: 2 CD SET, ILLUSTRATED SONGBOOK, AND PARENT EDUCATION MATERIALS AND NEWSLETTERS
classes are held at: LKN CHILDREN'S THERAPY, LLC, 9835 NORTHCROSS CENTER COURT, SUITE B, HUNTERSVILLE, NC
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please complete and mail with payment to address below*
REGISTRATION FORM
CHILD'S NAME____________________________________DATE_______________
CHILD'S AGE__________TYPE(S) OF DISABILITY___________________________
_____________________________________________________________________
PARENT'S NAME___________________________PHONE#_____________________
SIBLING'S NAME(S), IF ATTENDING_______________________________________
ADDRESS_______________________________________ZIP CODE_____________
E-MAIL ADDRESS______________________________________________________
NEW REGISTRANT____YES____NO TOTAL AMOUNT DUE $________________
FALL CLASSES BEGIN FRIDAY, FEB. 3RD - FRIDAY, MAR. 16TH, 2012
SCHOOL-AGE CLASSES: FRIDAYS @ 3PM, 3:45PM, 4:30PM
PLEASE INDICATE YOUR CLASS PREFERENCE_____________________________
(every attempt will be made to honor your request, depending upon enrollment)
ENROLLMENT AFTER START DATE MAY BE ELIGIBLE FOR DISCOUNT.
$20 DISCOUNT IF PAYMENT IS RECEIVED ONE WEEK PRIOR TO START DATE. REGISTRATION FEE IS NON-REFUNDABLE. CREDIT TOWARDS NEXT SEMESTER MAY BE GIVEN IF YOU WITHDRAW BEFORE THE FIRST CLASS, OR IN SPECIAL CIRCUMSTANCES.
PARENT SIGNATURE___________________________________DATE____________
*CHECKS PAYABLE TO: MINDY ARNDT
*MAIL TO: 153 PICWYCK DRIVE, MOORESVILLE, NC 28115
Questions? 704-677-2007 musicwithmindy@yahoo.com
