Caring with Keys - Facility October Scheduling Form
If you are interested in having volunteer pianist for your facility, please fill out the following form so we can best align our pianists' schedules to your needs. 
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Facility Name *
Facility Address: *
Facility Zip Code: *
State: (no abbreviations, put Michigan, not MI) *
Event Coordinator/Director Email:
(If no event coordinator, please provide the phone number for your facility)
 *
Good phone number for facility: *
Which days of the week would your facility like to host one of our musicians?
 *
Required
What times of day work best?
10:00am-11:00am
11:00am-12:00pm
12:00pm-1:00pm
1:00pm-2:00pm
2:00pm-3:00pm
3:00pm-4:00pm
4:00pm-5:00pm
5:00pm-6:00pm
6:00pm-7:00pm
7:00pm-8:00pm
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Any concerns or special considerations in regard to your facility? (What should our musicians know before they walk in the door?)
How often would you prefer performances? *
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