Spring 2019 Registration for Musical Autist Troupe
Email address *
Which class are registering for? *
Required
Do you (or your child) have any musical abilities? If so, please share below. *
Your answer
How did you hear about these groups? *
Required
What is your name? *
Your answer
For parents enrolling a child, please give child's name.
Your answer
If applicable: list your (or your child's) top 3 challenges when it comes to social situations.
Please feel free to elaborate, any and all info you provide is helpful for our instructors in planning these groups.
Your answer
Do you need any type of accommodations?
For 2019 winter/spring classes, we will not have access to a sensory quiet room or the ability to provide 1:1 support for participants. If this is something you need in order to participate, please let us know so that we can continue to develop this program to serve our community. If you are able to bring your own support person, perfect! They are welcome to attend as your support person at no additional cost.
Your answer
Your phone number *
Your answer
We strongly rely on group participation. Can you make a commitment to attend the groups you have registered for? Except in the case of sickness (in which case we ask that you please NOT attend) or emergencies, you agree to notify us as soon as possible: themusicalautist@gmail.com *
A copy of your responses will be emailed to the address you provided.
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