Rejoice Music Therapy

Group Registration Form

First & last name of Client

Phone

Email

I am registering for:

How do you prefer to be contacted?

I have completed & submitted the Informed Consent & Conduct Form and the Photography Consent Form.

I understand that this registration is for a group, not individual sessions.

I understand that refunds or credits will not be given for missed sessions unless there is an unforeseen circumstance or emergency, which will be determined via conversation with Rejoice Music Therapy staff.

I would like to help provide music therapy for someone else. Please apply the amount selected below to the account of a client who has expressed financial need.

$25

$50

$75

Adult Acoustic Guitar Group$280