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Creative Arts Family Support - Sponsored by ELIJA

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THE ELIJA FOUNDATION

www.elija.org

Proudly offers our community

THERAPEUTIC CREATIVE ARTS FAMILY SUPPORT

Serving Parents, Siblings and Individuals with Autistic Spectrum

Disorder with therapeutic art & music sessions geared toward

supporting the emotional and social needs of families affected by

Autism.

8 week Pilot Sibling Sessions: Approximately 2 hours long, there will

be AM & PM sessions

Fee: Voluntary Donation

Location: The ELIJA House 665 N. Newbridge Rd. Levittown NY 11756

Potential Schedule FOR SIBLING PILOT: AM = 10:00– 12:00 PM =

12:30 – 2:30

(Pilot commencing in April 2008 on select Saturdays for approx. 8

Saturdays – Dates TBD)

The pilot will provide the typical sibling participants approximately

1 hour of Art Therapy & 1 hour of Music Therapy With Board Certified

& Licensed Art & Music Therapists for small group Saturday Sessions

Our pilot program will initially service SIBLINGS ONLY, however,

based on interest and funding we are aiming to form classes for the

entire family (those with ASD and Parents) to participate either

simultaneously or during different times throughout the week. We do

not have a date when these additional programs will be available.

Please supply us with some information which will help us service

your family appropriately.

PLEASE NOTE: The ELIJA Foundation is committed to this initiative

and we thank you all for your input and interest . ELIJA will be

sponsoring the SIBLING pilot and contingent on future funding, we

will create additional groups for individuals with Autism. ELIJA

understands the unique needs of those with ASD's and only wish to

provide a therapeutic & purposeful environment for them. We thank you

for your patience while we design a creative arts program

specifically for them, and do hope you will consider your typical

siblings for our pilot to this program initiative.

––––––––––––––––––––––––––Please Mail / Fax or Email this

information_____________________

We would be interested in having our typical child(ren) (sibling(s)

of an Autistic child) participating in your Creative Arts Family

Support Program

We are interested in having our (no age limit):

O _______ # Typical Sibling(s) participate Age

(s)_________________________

We would be interested in having them attend (check both if you can

do either): AM session ________ PM Session ________

THE INFORMATION BELOW IS FOR FUTURE GROUPS, AND /OR for families with

only children with Autism Spectrum Disorders (no age limit)

O _______ # Individuals with Autism Age(s)

_______________________________

O _______ # Parent(s)/Caregiver Note relationship

(s):____________________________________________________

We would be interested in attending (check both if you can do either)

________ Saturday AM Sessions (10-12) ________ Saturday PM

Sessions (12:30-2:30)

Additional Comments:

______________________________________________________________________

______________________________

______________________________________________________________________

__________________________________________________

CONTACT INFORMATION:

NAME_________________________________________EMAIL____________________

PH_______________________

ADDRESS:______________________________________________________________

__________________________

FAX TO : 516 433 4324 EMAIL TO: elija@... MAIL: ELIJA

FAMILY SUPPORT 665 N. Newbridge Rd. Levittown NY 11756

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