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We are so excited for you to attend Muzique's Music Therapy classes at We Rock the Spectrum Audubon!

MUZIQUE MUSIC CLASSES ARE INCLUSIVE FOR ALL ABILITIES up to age 18. WE WILL FOCUS ON DEVELOPMENTALLY APPROPRIATE GOALS SUCH AS SOCIAL SKILLS, SPEECH AND LANGUAGE SKILLS, MOTOR SKILLS AND SO MUCH MORE! IF THIS SOUNDS LIKE SOMETHING YOUR CHILD COULD BENEFIT FROM, THEN MAKE SURE TO REGISTER THEM NOW!

FOr just $150 your child will be registered for 6 weeks of Muzique music classes! Classes are Thursdays at 5:30pm. THis cost includes 15 minutes of open play before or after each class you attend!

Classes will begin October 11th!

If you have already registered for a Muzique Music Class at WRTS Audubon, please scroll down to fill out Form 2!**

FORM 1

Parent/Guardian Name *
Parent/Guardian Name
Cell Phone Number *
Cell Phone Number
Child's Name *
Child's Name
Child's Birthdate *
Child's Birthdate
A 6-session pass for Muzique Music Class is $150! By completing this form, you will be charged $150 for the 6 class pass, which you can use within 2 months of purchase! You will not be charged further without your consent. This class price includes 15 minutes of open play!
Expiration Date *
Expiration Date

FORM 2

Please fill out this Form 2 ONLY IF you have previously filled out Form 1 for a prior Muzique Music Class at WRTS Audubon!

Parent/Guardian Name *
Parent/Guardian Name
Cell Phone Number *
Cell Phone Number
Child's Name *
Child's Name
I am going to continue with another Muzique Music Class at WRTS Audubon and consent that Muzique may officially sign me up for another 6-class pass! *
By checking this box you are stating that you understand that Muzique will be charging your card for $150 when this form is received.