2017 Songbirds Registration -Mission Valley
Please provide the information below so that we can provide the best group possible for your child.
Child's Name
Your answer
Parent/Contact Name
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Email
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Phone
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Child's Date of Birth
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/
DD
/
YYYY
Special Need/Disability (music experiences will be adapted to meet these needs)
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Dates, Location & Times
All Sessions are on Saturdays from 10:00am-10:45am. Located at our Mission Valley office. 7840 Mission Center Court. Suite 205, San Diego, CA 92108 ( please check all that apply)
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Payment Options (please choose at least one)
Please note: Pre-registration is non-refundable meaning there is no refund for missed sessions. Payment must be received at least 48 hours before the first day of class to qualify for pre-registration.
If you are paying for the entire session, how will you be paying?
Please skip this question if you are doing the drop-in rate.
How did you hear about Songbirds?
(please check one)
Have you ever registered for Songbirds in the past?
What rewards are motivating to your child? What prompts work best?
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What favorite songs, artists, or music games/videos does your child enjoy?
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Has your child ever had music lessons or been in music therapy before? If so, where and for how long?
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Does your child have any behavior issues we should be aware of? If so, what approaches have been most successful?
Your answer
Has your child ever been in a social or music group before? If so, please share what program.
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Does your child need special assistance with communication? If so, please explain.
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To help your child be successful, is there anything else you would like us to know?
Your answer
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