Santino engaged in various classroom academic activities for the first hour. First, I had Santino seated at a table and he demonstrated good visual perceptual skills and problem solving abilities in puzzle assembly and matching objects, given some minimal physical prompts. We next interacted by producing music with different instruments and spent a good bit of time engaged in musical rhythm imitation; Santino picked and strummed at the strings of a guitar as I banged on tambourines using a rhythm stick. I narrated throughout the session and Santino occasionally repeated my words and phrases, especially when they were spoken in a singsong voice. We spent some time outdoors for the latter part of our session time together, and Santino enjoyed having me hold his legs as he balanced moving back and forth on a on a wedge and assisted in completing a forward roll. He enjoyed this activity, especially as he grew more familiar with the movements he could expect. Once inside, we washed out hands and Santino handed me his bottle, indicating he wished to drink some Pediasure. He relaxed for the remaining few minutes of the session as I read him his favorite short stories.