Music + Gardening Interest Form
Welcome to Guard Goose Music Therapy!
We are passionate about providing sensory-rich experiences that promote holistic wellness. In addition to music therapy and education, we provide experiences for individuals to explore the joy of caring for plants and watching them grow. 

Our approach in gardening is inspired by philosophies of permaculture and the practice of food-forestry - an economic and sustainable manner of producing food for a family. We believe that fostering the growth of an ecosystem is healing for the self and community. 
Our mission is to help individuals to achieve wellness and harmony by connecting with and fostering the natural environment.

This form is to those interested in this program to connect. 

Next steps:
- We will contact you to schedule a consultation call to discuss how we can serve you
- Schedule a time to meet and do some gardening!
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Welcome to Guard Goose Music Therapy!
Your Name (Person Filling Out This Form) *
Name of the Individual Receiving Gardening Sessions
Contact Phone *
Contact Email *
Birthday of Individual Receiving Services *
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Primary Diagnosis (if applicable)
What brings you to our gardening program? *
Anything else you would like us to know?
Thank you connecting! Next, we will contact you to schedule a free consultation *
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