We have extensive experience providing music for folks with special abilities. We have worked with all ages in both large and small group settings as well as one-on-one programming.

Our programming is geared to the needs of our clients and include a variety of music to sing with and move to. We also provide a variety of musical instruments to help our clients participate and be active in making music.

Join us for making music and friends!

Programming Offered In Person on Wednesday Evenings

Extend-A-Family, Bagot Street Entrance, Kingston, Ontario

PRICING:

Monthly (based on a 4-week month): $92 ($23 per night)

** Please note – you are committed to the entire month upon registration.

See the Program Policies for further details regarding payment etc.

Dale & Tim playing guitar Feb. 2023 (3).jpg

If you’re a NEW client, complete the form below:

Name of Participant:

First Name

Last Name

Address of Participant:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth:

MM

DD

YYYY

Name of Parent/Caregiver:

First Name

Last Name

Address (if Different):

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Name of Worker (If applicable):

First Name

Last Name

Home Phone:

(###)

###

####

Cell Phone:

(###)

###

####

Emergency Contact Information

Name

First Name

Last Name

Phone

(###)

###

####

Relationship:

Email:

Invoicing Information

Name

First Name

Last Name

Email

Phone

(###)

###

####

Getting To Know You

Allergies, Chronic Illness, or Medical Conditions

Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe.

Dietary Needs

Please describe the dietary need of the participant (restrictions and preferences):

Accessibility Needs

Are there any accessibility needs to be taken into consideration during programming:

Give Us Information That Will Make Our Time Together Better:

Let us know of specific things like loud noises, vision, lights, that we need to take into consideration

Confirmation

I understand that I am signing up for the entire session:

Yes, I Do.

I agree to pay the amount specified for the Program:

I Agree

Let’s Make Music Is On Social Media

Please let us know where we can use pictures of the participant:

Facebook

Instagram

Twitter

Website

PowerPoint During Presentations

Transfer of Care:

We are committed to offering quality programming for our clients. We believe it is extremely important to provide a safe, therapeutic, and caring environment for our clients to grow. Please note that individuals must be able to demonstrate a basic ability to care for their personal needs while attending programming. To ensure the safety of your loved one, we do not offer transfer of care. Staff are unable to assist with transfers, diaper changes and lifts unless a qualified PSW is on site.

I have read and understand the Transfer of Care Policy

If you’re a returning client, complete the form below:

Name of Participant:

First Name

Last Name

Address of Participant:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth:

MM

DD

YYYY

Only Fill In Anything Below That Has Changed Since Your Last Registration:

Name of Parent/Caregiver:

First Name

Last Name

Address (if Different):

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Worker (If applicable):

First Name

Last Name

Home Phone Number:

(###)

###

####

Cell Phone Number:

(###)

###

####

Emergency Contact Info:

Name:

First Name

Last Name

Phone:

(###)

###

####

Relationship:

Email

Invoicing Information

Name

First Name

Last Name

Email

Phone

(###)

###

####

Getting To Know You

Allergies, Chronic Illness, or Medical Conditions

Does the participant have any allergies, chronic illness, or medical conditions? If yes, please describe.

Dietary Needs

Please describe the dietary need of the participant (restrictions and preferences):

Accessibility Needs

Are there any accessibility needs to be taken into consideration during programming:

Give Us Information That Will Make Our Time Together Better:

(let us know of specific things like loud noises, vision, lights, that we need to take into consideration)

Confirmation

I understand that I am signing up for the entire session:

Yes, I Do

I agree to pay the amount specified for the Program:

I Agree

Let’s Make Music Is On Social Media

Please let us know where we can use pictures of the participant:

Facebook

Instagram

Twitter

Website

PowerPoint During Presentations

Transfer of Care:

We are committed to offering quality programming for our clients. We believe it is extremely important to provide a safe, therapeutic, and caring environment for our clients to grow. Please note that individuals must be able to demonstrate a basic ability to care for their personal needs while attending programming. To ensure the safety of your loved one, we do not offer transfer of care. Staff are unable to assist with transfers, diaper changes and lifts unless a qualified PSW is on site.

I have read and understand the Transfer of Care Policy

Teen & Adult Programming

We have extensive experience providing music for folks with special abilities. We have worked with all ages in both large and small group settings as well as one-on-one programming.

Our programming is geared to the needs of our clients and include a variety of music to sing with and move to. We also provide a variety of musical instruments to help our clients participate and be active in making music.

Join us for making music and friends!

Programming Offered In Person on Wednesday Evenings

Extend-A-Family, Bagot Street Entrance, Kingston, Ontario

PRICING:

Monthly (based on a 4-week month): $92 ($23 per night)

** Please note – you are committed to the entire month upon registration.

See the Program Policies for further details regarding payment etc.

If you’re a NEW client, complete the form below:

If you’re a returning client, complete the form below: