NeuroSing Fall 2017
What is your name or the name of your loved one who would like to enroll? *
Your answer
Age and diagnosis (be as detailed as you would like) *
Your answer
What speech-language, oral-motor issues do you hope to address in this group? *
Your answer
I am registering for: *
What is your preferred music (songs, artists or genres)?
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How did you hear about NeuroSing?
Your phone number *
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Your email *
Your answer
I understand that my place is not reserved until payment is received through the Paypal link below. *
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