Santino had his shoes and socks off when I entered the classroom to begin the day's session. We began by engaging our senses with visual and tactile stimuli, squeezing a gel pad and verbally identifying the objects that appeared at its surface. The gel pad focused on the letter 'F,' which nicely segued into looking at the Beta Fish and reinforcing the sound the letter 'F' makes. We also read words to a song written on a chart to the tune of Jingle Bells. All the words beginning with the letter 'f' were circled and emphasized when pointed out to him. Santino repeated the word 'fish' once while engaged in this activity. After re-focusing him to the gel pad, I named the objects beginning with the letter 'f' that appeared when he squeezed it. These included, French fries, a football, and a fish. When he grew tired and laid down on the mat, I let Santino continue to explore the gel pad while reading him two books, 'The Foot Book', by Dr. Seuss, and 'I love you, Grumpy Bunny.' Santino seemed more refreshed after about ten minutes of reading so we moved onto an alphabet puzzle. He removed all the letters and re-arranged them, in correct order, on the rug. He then began to re-assemble the puzzle, but only got as far as the body of the butterfly and one or two letters before losing interest and re-focusing his attention elsewhere. I helped him assemble a few more letters with physical prompts and together we put the puzzle away while I sang the cleanup song. Santino finished the session engaged in a musical activity, strumming a guitar and hitting a drum. He enjoyed feeling the vibrations from the guitar and listened as I created different pitches using different parts of my hand and palm. He also enjoyed listening, watching, and feeling the strings vibrate. Santino left in good spirits when the hour was up.