Adaptive Music Arts Program Registration Form - Fall 2019
Thank you for your interest in BRMS' Adaptive Music Arts Program!

Adaptive Music Arts Program (AMAP) is a program designed for individuals with adaptive needs. In AMAP students will have the ability to write their own song as a group, explore new instruments every week and experience music through movement, singing and rhythm making!

Basic Info:
Price for the class is $25 per class, $300 per session.
All payments are to be made in full after the free trial class.

After 10 submissions, this form will close. If closed, please email contact@brmusicstudios.com for info on upcoming sessions, or so that we may let you know that an opening came up! We will create as many sessions as we need, but can only accommodate a maximum of 10 participants at a time.
Thank you from the AMAP Team!

All classes are held at Baton Rouge Music Studios located at 9327 Burbank Dr. Baton Rouge, LA 70820

Questions? Give us a call! 225.769.6225

Prerequisites for AMAP Group Classes
For group classes to be successful for all participants we ask that the students meet general prerequisites.

If your student does not meet these prerequisites, we offer individualized private lessons!
Call us to set up a free trial lesson 225.769.6225

- The attention span of 7+ minutes
- The ability to communicate (verbally or nonverbally)
- The ability to answer yes and no questions
- Nonviolent (biting, pinching, self-harm)

AMAP Dates and Times
WEDNESDAY, 4:30-5:30, AGES 6-10
Sept 11 - FREE TRIAL CLASS
Sept 18
Sept 25
Oct 2
Oct 9
Oct 16
Oct 23
Oct 30
Nov 6
Nov 13
Nov 20
Nov 27 - NO CLASS
Dec 4
Dec 11
Dec 14 - PERFORMANCE OPPORTUNITY (SATURDAY)


THURSDAY, 1:00-2:00, AGES 18+
Sept 5 - FREE TRIAL CLASS
Sept 12
Sept 19
Sept 26
Oct 3
Oct 10
Oct 17
Oct 24
Oct 31 - NO CLASS
Nov 7
Nov 14
Nov 21
Nov 28 - NO CLASS
Dec 5
Dec 12
Dec 14 - PERFORMANCE OPPORTUNITY (SATURDAY)


THURSDAY, 4:30-5:30, AGES 11-17
Sept 5 - FREE TRIAL CLASS
Sept 12
Sept 19
Sept 26
Oct 3
Oct 10
Oct 17
Oct 24
Oct 31 - NO CLASS
Nov 7
Nov 14
Nov 21
Nov 28 - NO CLASS
Dec 5
Dec 12
Dec 14 - PERFORMANCE OPPORTUNITY (SATURDAY)

Participant and Guardian Information
Participant Name (if more than one participant, please fill out another form so that our submission number is accurate) *
Your answer
Parent/Guardian/Caregiver Name *
Your answer
Address *
City, State, Zip code
Your answer
Primary Phone (best number to reach you) *
Your answer
Work Phone *
Your answer
Primary Email (best email to reach you) *
Your answer
Please describe the participant's needs *
This will help us better understand the student so we can adapt our classes appropriately.
Your answer
What is your participant most excited to learn about?
Your answer
Additional Comments
Your answer
Class Options
WEDNESDAYS
4:30 pm - 5:30 pm (ages 6-10 years old)

THURSDAYS
1:00 pm - 2:00 pm (adults ages 18+)
4:30 pm - 5:30 pm (ages 11-17 years old)

Select a class option *
Verify your participant's age *
How did you hear about us?
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