AMTS Group & Individual Registration 

We are SO excited you'll be joining us! After registering, be sure to fill out your online INTAKE PACKET. Reach out to Noel@amusictherapy.com or (540)384-1677 with any questions or if you need assistance with the Intake packet.

See you soon!!! 

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For TBI/SCI ONLY, I prefer:
PARTICIPANT/CLIENT INFORMATION
Name *
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PARENT/GUARDIAN INFORMATION (If client is a minor)
Parent Name(s) (if applicable)
MAIN CONTACT INFORMATION
Phone *
Email *
You agree to commit to the designated schedule and attend each session when possible. 

You agree to give advance notice if you foresee your absence.
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