Sign up to The Rhythmic Breath - Chelmsford
Come along to this FREE music therapy group where we will support you through music. For anyone struggling with chronic health, long Covid, mental health or general stress and worry.

Here you are safe to share, explore your feelings, relax and express yourself through listening to and playing music.

Date: Mondays
Time: 1pm - 2pm
Place: Beaulieu Community Centre, Beaulieu Square, Centenary Way, Chelmsford CM1 6AU

If you'd like to know a bit more before signing up, take a look at our website here: https://acemusictherapy.co.uk/the-rhythmic-breath/
Sign in to Google to save your progress. Learn more
Email *
Name *
Contact Number *
Next of Kin's Name *
Next of Kin's Contact Number *
Do you have a diagnosis? If yes please state *
Is there any medical information we should be aware of? *
Is there any other additional information you'd like us to know before you attend? *
Which sessions do you plan to come to? *
Required
Please can you let us know if you ever can't attend a session via email (saskia@acemusictherapy.co.uk) *
Do you consent to pictures and videos for us to use on Ace Music Therapy's social media? *
Would you like to sign up to our Newsletter to recieve updates about music groups in the future? *
Please copy and paste the link below to complete our referral form before attending, if you haven't already
https://forms.gle/pLe2Mf7TgKrBQbR8A
Thank you for signing up to The Rhythmic Breath - Chelmsford, we look forward to making music with you!
Becky and Katie improvising for The Rhythmic Breath
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Ace Music Therapy. Report Abuse
Google Forms