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 *
Last Name *
Email *
Phone Number *
Website (if you have one)
Instrument(s) Played/Sing? *
Instrument(s) Taught? *
Where do you teach? (Corvallis, Philomath, etc) *
What would you like us to know about you/bio? *
Other Comments
What does the following image mean to you? *
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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