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