Innovative Sensory Center Payment Form

  • 2100 Middle Country Road Centereach NY, 11720 Suite 207 B 1844-495-2594

  • Payment Form

    Choose the sessions below that apply to you and be sure to schedule your sessions as space is limited. If you choose a membership and do not use your monthly number of sessions, they will be rolled over.
  • Format: (000) 000-0000.

  • My Products

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    Children's Session -Platinum Annual Membership (4 sessions per month) through the entire year. This package allows you to prepay for the year and includes a $200 savings. This option allows you to fill the form out once for the year. Be sure to complete the scheduling form to secure your sessions.
    Children's Session -Platinum Annual Membership (4 sessions per month) through the entire year

    This package allows you to prepay for the year and includes a $200 savings. This option allows you to fill the form out once for the year. Be sure to complete the scheduling form to secure your sessions.

    $1,000.00$1,000.00
      
    Children's Session - Monthly membership (8 sessions) . You are eligible to register your child for 8 sessions per month. After payment, be sure to complete a scheduling form for each of the 8 sessions you would like to enroll them in. This form must be filled out monthly. Be sure to complete the scheduling form to secure your sessions.
    Children's Session - Monthly membership (8 sessions)

    You are eligible to register your child for 8 sessions per month.  After payment, be sure to complete a scheduling form for each of the 8 sessions you would like to enroll them in. This form must be filled out monthly. Be sure to complete the scheduling form to secure your sessions.

    $150.00$150.00
      
    Children's Sessions - Monthly membership (4 sessions) . You are eligible to register your child for 4 sessions per month. After payment, be sure to complete a scheduling form for each of the 4 sessions you would like to enroll them in. For this option this form must be filled out monthly. Be sure to complete the scheduling form to secure your sessions.
    Children's Sessions - Monthly membership (4 sessions)

    You are eligible to register your child for 4 sessions per month. After payment, be sure to complete a scheduling form for each of the 4 sessions you would like to enroll them in. For this option this form must be filled out monthly. Be sure to complete the scheduling form to secure your sessions.

    $80.00$80.00
      
    Children's Session - 1 Hour Group Session. You are eligible to register for one of our sessions.This applies to any of the sessions listed on the scheduling form. Be sure to complete a scheduling form for each session you would like to enroll your child in. (structured play, intensive needs, tween night or young adults with disabilities) For this option the form must be filled out for each session. Be sure to complete the scheduling form to secure your sessions. Be sure to complete the scheduling form to secure your sessions.
    Children's Session - 1 Hour Group Session

    You are eligible to register for one of our sessions.This applies to any of the sessions listed on the scheduling form. Be sure to complete a scheduling form for each session you would like to enroll your child in. (structured play, intensive needs, tween night or young adults with disabilities) For this option the form must be filled out for each session. Be sure to complete the scheduling form to secure your sessions. Be sure to  complete the scheduling form to secure your sessions. 

    $25.00$25.00
      
    Teen or Adult sessions with Parental Support - 1 Hour Small Group. The small group consists of up to 3 individuals and an hour of support tailored to the participants needs. It includes skill development and socilization while exploring a sensory rich environment. This form must be filled out for each session.
    Teen or Adult sessions with Parental Support - 1 Hour Small Group

    The small group consists of up to 3 individuals and an hour of support tailored to the participants needs. It includes skill development and socilization while exploring a sensory rich environment. This form must be filled out for each session.

    $35.00$35.00
      
    Individual one on one sessions for children and adults. The one on one sessions consist of an hour of individualized support tailored to the participants needs, a personalized approach, skill development, flexibility, and parental support and guidance while exploring a sensory rich environment. This form must be filled out for each session.
    Individual one on one sessions for children and adults

    The one on one sessions consist of  an hour of individualized support tailored to the participants needs, a personalized approach, skill development, flexibility,  and parental support and guidance while exploring a sensory rich environment. This form must be filled out for each session.

    $65.00$65.00
      
    Total
    $0.00$0.00
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