Music Therapy Summer 2024 Music Therapy Summer Sessions 2024 Registration Form Parent/Guardian Name(Required) Parent/Guardian Phone Number(Required) Email(Required) Name(s) and Age(s) of Client(s)(Required)Product NameHow do you wish to pay? Credit Card Request Invoice/Pay by Check FCBDD Summer Scholarship Funds (pre-approval required, visit https://www.fairfielddd.com/family-support) Options 1:1 Sessions at Lancaster Clinic-8 Weeks 1:1 Sessions In Your Home - 8 weeks Group Music Therapy Ages 4-6, 6 weeks Group Music Therapy Ages 7-10, 6 weeks Group Music Therapy Ages 11+, 6 weeks Select Option(s) 1:1 Sessions At Lancaster Clinic -8 weeks, $320 1:1 Sessions In Your Home -8 weeks, $500 Group Music Therapy Ages 4-6 -6 weeks, $200 Group Music Therapy Ages 7-10 -6 weeks, $200 Group Music Therapy Ages 11+ -6 weeks, $200 Total Credit CardCard Details Cardholder Name
