Summer Music Therapy Waitlist

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Please leave a current email address and mark your preferences for you or your loved one for Music Therapy Programs. This will add you to the waitlist and will be notified via email when registration is open for the Summer season. By filling out this form you are opting in to receiving emails from Carrie Friddell at In Harmony Music Therapy of Middle Tennessee. For more information go to www.inharmonymusicmidtn.com or email Carrie Friddell at carrie@inharmonymusicmidtn.com. Thank you.

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電子郵件 *

Your Name

Child or Youth Name and Age

Child’s or Youth’s Diagnosis

My preference for Summer of 2021

My child would participate over Zoom

I would bring my child in person, masked and social distanced during our time indoors

Both ways is fine with me

其他：

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Fill in this statement: Music therapy can help my child or youth by….

I want to join the waitlist for:

Early Childhood Music Therapy Group -ONLINE Twice Weekly Mondays and Wednesdays at 9:00 AM Starting June 14 through July 21st

Early Childhood Music Therapy Group - IN PERSON Twice Weekly Mondays and Wednesdays at 4:00 PM June 14 through July 21st

In Harmony Kids Music Therapy - ONLINE - Thursdays at 4:00 PM June 17 - July 22

In Harmony Kids Music Therapy - IN PERSON - Tuesdays at 4:00 PM June 15- July 20

In Harmony Youth Music Therapy - ONLINE - Thursdays at 5:00 PM June 17-July 22

In Harmony Youth Music Therapy - IN PERSON- Tuesdays at 5:00 PM June 15 - July 20

I am looking for Private Individualized Music Therapy for my kid

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Additional Comments. Tell more about your needs, your child’s needs, goals or accommodations to help better serve your child.

Do you need financial aid for music therapy?

Yes

Maybe

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Thank you for your kind response!

I’ll be in touch! Be sure to add: carrie@inharmonymusicmidtn.com to your email contacts!

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