Rhapsody in Blue: A Sensory Friendly Family Day and Music Therapy Experience at Preservation Hall
The Preservation Hall Foundation and the New Blue Foundation present "Rhapsody in Blue: A Sensory Friendly Family Day and Music Therapy Experience at Preservation Hall" on Saturday, November 16th from 9:30am - 12pm at Preservation Hall. Participants will engage in a music therapy experience lead by Meredith Sharpe, as well as engage in an Instrument Petting Zoo and concert by the Preservation Hall Foundation.

The event is free, but advanced registration is required. Please fill out this form to help us better understand your child, and share any additional information you think we may need. We look forward to making music together!
Email address *
Child's Name *
Your answer
Child's Preferred First Name *
Your answer
Child's Age *
Your answer
Street Address
Your answer
City, State, Zip *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number
Your answer
Parent/Guardian Email Address *
Your answer
My Child communicates in the following way (please check all that apply): *
Required
If your child has speech challenges, what key phrases should we be aware of?
Your answer
If your child communicates with sign/ASL, what key signs should we be aware of?
Your answer
My child demonstrates the following behaviors (check all that apply): *
Required
If your child demonstrates self-injurious behaviors, which ones should we be aware of?
Your answer
If your child is sound sensitive, what triggers should we be aware of?
Your answer
If your child demonstrates self-stimulating behaviors, which should we be aware of?
Your answer
Any additional information we should be aware of for our Music Therapy and Concert Experience?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Preservation Hall Foundation. Report Abuse