If you have received a link via email with instructions to complete this form, you should have also received a copy or link of a photo or video of your child in action in his or her music therapy session. Please review the video clip contained in that email. If you are comfortable with having So.i.Heard Music Therapy share this photo or video, please complete the form below. After you submit, we will send you an electronic copy of the agreement for your own records.
You are being sent this inquiry because something your child did in his or her session will help other parents and clients understand what music therapy is and what So.i.Heard provides. By sharing real-life client videos, we can help more familes get set up with some awesome resources. However, as our valuable client, your comfort and privacy are most important to us. So, if you do not feel comfortable with us sharing the photo or video in question, let us know, and we will be happy to continue to keep it private.
MEDIA SHARING CONSENT FORM