MUSIC & MEMORY® REGISTRATION FORM

Welcome!

Tell us more about what you need.(Required)

GREAT! Thanks for your interest in Music & Memory certification.

What kind of training are you interested in?(Required)

Thanks!

Are you ready to register you and your team for training, or would you prefer to use this form to get more information about our training?(Required)

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Name(Required)

Great! Please let us know more about your organization.

Organization Address(Required)
Non Profit Business(Required)
Will your organization's certification be funded by a grant?(Required)
Primary Contact Name(Required)

Ok, thanks.

Now let’s get back to the training. Each person you register will receive their own unique access to our training.

How would you like you and your team to be trained, live or on demand?(Required)
Attendees(Required)
First Name
Last Name
Title
Email
 
Use the + sign at the end of each line to add additional attendees.

Once you click 'Submit' a Music & Memory team member will process your registration and email you instructions for accessing your training.

GREAT!

What kind of training are you interested in?(Required)

No problem.

SUPER.

Now how would you like to be trained, live or on demand?(Required)
Organization Address(Required)
Primary Contact Name(Required)
Attendees(Required)
First Name
Last Name
Title
Email
 
Use the + sign at the end of each line to add additional attendees.

Once you click 'Submit' a Music & Memory team member will process your registration and email you instructions for accessing your training.

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MUSIC & MEMORY, 160 FIRST STREET, PO BOX 590 MINEOLA, NY 11501, UNITED STATES CAREQUESTIONS@MUSICANDMEMORY.ORG

About MUSIC & MEMORY®

MUSIC & MEMORY® is a non-profit organization that helps individuals with a wide range of cognitive and physical conditions to engage with the world, ease pain, and reclaim their humanity through the use of personalized music.

By providing access and education, and by creating a network of Music & Memory certified organizations, we aim to make the therapeutic use of personalized music a standard of care throughout the health care industry.

Accountability

We are committed to financial accountability and transparency. Music & Memory has received silver level status at GuideStar. We’re also honored to be part of the Combined Federal Campaign #90590.

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