Registration Form
Register for Sing it Girls! Sessions. February 1 to March 15, 2023
(Note: No session on February 22 for Reading Week)

Register by January 28, 2023

There are 6 sessions and each session is 60 minutes in length.
The price for 6 sessions is $178.5 (5% GST included in total) ($100 including GST, for each child after the first)
We do offer a sliding scale OR you may apply for Fee Assistance with the City of Lethbridge.

You are welcome to wear a mask and social distance if need be.

Facilitator Contact Information:
Kristen Williams, MTA - KristenWilliamsMusicTherapy@gmail.com
Jean Hinton, MTA - couleerootsmusictherapy@gmail.com
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Parent Name (Parent Name) *
Email (an invoice will be emailed to you) *
Do you prefer to use Paypal or Bank E-Transfer as a payment method (Check all that apply) *
Required
If you have a lower income and cannot pay $178. Please let us know so we can lower the cost. We want to help out in any way we can. Your information will remain confidential.
Which group do you want to sign your child up for?
*
Required
How many children are you registering? *
Rescheduling In-person: In the event that the facilitator needs to cancel an in-person group, we will do our best to reschedule before the next session to a virtual group. Let us know about any alternative days that can work for you. The time of your group will remain the same (Check all that apply)
Rescheduling Online: In the event that the facilitator needs to cancel a virtual group, we will do our best to reschedule before the next session. Let us know about any alternative days that can work for you. The time of your group will remain the same (Check all that apply)
For future program planning, is there another day and time that works best?
Primary Phone Number *
Emergency Contact Name and Phone Number *
How did you hear about us?  (Check all that apply)
If you have any further questions or comments please include them below. We will answer them through the email you provided above.
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