Summer 2026 Family Music Time Registration & Payment Form

Family Music Time

Summer 2026 Registration and Payment Form ^^Click the above image for a detailed description of the program.
Register for classes: input family information before selecting classes to attend, save and return as needed.I need more details: what exactly is this program? >Click the heading image above.Skip ahead to purchase options for instrument kits, and to view available classes.

Family Information

Register per 'family’ unit = 1 or 2 adult caregivers with up to 3 children.
How many children attending?*
How many adult caregivers attending?*
- Child #1 Full Name*
  Child #1 First and Last Name
- Child #1 Date of Birth*
  
  MonthDayYear
  Date
- Child #2 Full Name*
  Child #1 First and Last Name
- Child #2 Date of Birth
  
  MonthDayYear
  Date
- Child #3 Full Name*
  Child #1 First and Last Name
- Child #3 Date of Birth
  
  MonthDayYear
  Date
- Adult Caregiver #1 Name*
  
  First NameLast Name
- Relationship to Child/Children*
- Adult Caregiver #1 Cell Number*
  Format: (000) 000-0000.
- Adult Caregiver #1 E-mail*
  example@example.com
- Adult Caregiver #2 Name
  
  First NameLast Name
- Relationship to Child/Children
- Adult Caregiver #2 Cell Number
  Format: (000) 000-0000.
- Adult Caregiver #2 E-mail
  example@example.com
- Parent/Guardian Information
- YesNo
- Name*
  
  First NameLast Name
- Cell Number*
  Format: (000) 000-0000.
- E-mail*
  example@example.com
- yesno
- emailtextdo not contact
- How did you find Family Music Time?*
  Ex. Facebook Event or Private Group; Friend; Flyer; etc

- Informed Consent and Acknowledgement
  
  I hereby give my approval for my child/children’s participation in any and all activities prepared by Sound Inspirations Music Therapy, LLC (SIMT) during the selected classes. In exchange for the acceptance of said child/children’s candidacy by SIMT, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless SIMT and all its respective officers, agents, and representatives from any and all liability for injuries to said child/children arising out of traveling to, participating in, or returning from selected classes.
  
  In case of injury to said child/children, I hereby waive all claims against SIMT including all music therapists and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all physical activities in a group setting, including music-making, yoga, and moving to music during the selected classes.
- Confirmation
  
  BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
- Printed Name*
  Parent/Guardian/Adult Caregiver Attendee Signature
- Date*
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option

Location: Kirtland Community Center 7900 Euclid Chardon Rd Kirtland, OH 44094 The large empty room we use has low carpeted flooring, and is accessible for wheelchairs and strollers. There are folding chairs available, if needed. Not sure which room? Ask the front desk or listen for the music. We are typically the only group in the center at this time. The front doors will be open for 15min before and after class, and there should be a staff member at the front desk.

Notifications: Any important last-minute changes or information regarding classes will be given via the private Facebook group "Family Music Time with Sound Inspirations" and/or may be sent by email to the adult contact(s) listed. Contact us directly with any questions or last minute cancellations by text to (440) 290-9883 or Fb Message us through our page: @Sound Inspirations Music Therapy. Please tag us when you post or share pictures of your experiences in classes!

Instrument/materials Kits: Listed after the class dates under "Purchase Options" section. Positive benefits of purchasing a kit for a child may include but are not limited to:
- empowerment to participate on the child's terms and timing during classes
- reduced risk of exchanging germs with other children
- a transition tool for the child regarding returning to future classes
- fostering creative expression during class and extending this to home
- a sense of motivation and self-confidence through ownership
We have thoughtfully sourced each item and arranged the collection of items as a whole kit to provide durable, washable, non-toxic, and versatile age-appropriate instruments and movement props, that were primarily purchased from other small businesses in Ohio. The purchase of a kit is not required for participation in class as the facilitator will bring a collection of comparable instruments and props for families to borrow if they do not have their own kit.

Family Yoga Classes are taught by Kate Martin, Certified Children's Yoga Instructor of Little Frogs and Downward Dogs Yoga. These classes will introduce the benefits of yoga in a family style/mommy & me class format with a fair amount of movement for the children (baby-wearing is a good option for infants). We will learn a breathing technique, practice age appropriate meditation skills, engage in a mindfulness activity and learn a few asanas (yoga movement postures) in a fun way! Overall, classes will be comprised of movement; song & dance; age appropriate mindfulness activities; an introduction to the benefits of meditation and breathing exercises; AND tons of fun!! Please bring water to drink and a mat (there will be a few to borrow if you don't have one).

REGISTRATION: Select the classes your family will attend

Pay to secure your spot in multiple classes in one transaction, or just one class at a time. To reserve your spot on a variety of different class dates, you may return to register (re-submit this form) multiple times, or 'save' the mostly completed form and return to complete the payment portion later. Classes will be marked as "sold out" and unavailable to purchase when they reach the 10-family limit. If a "whole summer" or "per month" option appears sold out, please double-check the individual classes listed as there may actually still be room to sign up for one or more of the classes in those ranges. In general, all sales are final as a commitment to attending our classes.

Please enroll before the class start time, as much as possible. Last-minute drop-ins or late arriving families are welcome to enroll the same day as the class. The ability to register will remain open for each class until it is has reached full capacity. Notifying us of upcoming absences helps us make use of waitlists for sold out class dates. We reserve the right to cancel any class if a minimum enrollment is not met 24hrs prior to the start time. Questions? Text or leave a voicemail message for business owner, Lucy, at (440) 290-9883.

Waitlist Sign Ups will appear below if applicable
Put me on a waitlist for a 4:30pm class:
List class dates
Put me on a waitlist for a 5:00pm class:
List class dates

Click Arrows to Expand Purchase Options per Category:*

Full Summer Program Options: choose music/yoga and class time

ALL Classes, Music + Yoga: Wednesdays, May 27 - July 29, 2026

All 10 weeks of classes. Family Yoga classes on 5/27, and music classes 6/3-7/29. Choose your class start time: 4:30pm or 5pm.