Request to be added to the Teacher Referral List
Request to be added to the Teacher Referral List for Windsmith Music. Please note that it is up to our discretion to add you to our list. Filling out this form is not automatic approval.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Website (if you have one)
Your answer
Instrument(s) Played/Sing? *
Your answer
Instrument(s) Taught? *
Your answer
Where do you teach? (Corvallis, Philomath, etc) *
Your answer
What would you like us to know about you/bio? *
Your answer
Other Comments
Your answer
What does the following image mean to you? *
Your answer
Contact and Bio information: You agree that Windsmith Music will put your contact information, bio information, and any other related information on their website, free for the public to view, so potential students can contact you. *
Required
Would you like to be done with this now? *
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