Member Registration Form
Welcome to the Suffolk Music Teachers Foundation! We can't wait to have you join us for our community recitals, meetings, & teacher networking. Our members all work together to grow in the profession of music teaching. Please make sure to complete this entire form & submit (you will get a success message with where to send your dues check)
Sign in to Google to save your progress. Learn more
Email *
Consent to Inclusion in our Public Directory *
Will Be CAPTCHA-protected.   By submitting this form, you are consenting to display of your full name, town, state, and teaching area to be shown on our website directory. There will be no street address displayed for the privacy of our members. Contact phone number, email or business website will not be displayed on the website, unless specifically requested. If you have a concern, please select 'Other' and explain.
First Name *
Last Name *
Phone Number(s) *
Please list each phone number you want listed and the type of #
Ex. 631-555-5555 = mobile.
631-666-6666 = Landline 
631-777-7777 = work cell   etc.
Street Address *
(Just Street & Number)
This will NOT be shared PUBLICLY
but WILL be shared INTERNALLY with members only.
City *
WILL be Shared Publicly on Website Membership Directory
You Don't Have to Live in Suffolk County to Join, but all our recitals are held here
State *
ex. NY
Zip Code *
Qualified Teaching Areas  *
Please check all boxes comfortable teaching professionally (These will be listed publicly)
If your area of expertise is not listed or you wish to qualify anything (ex. only beginners or only adults, please check 'Other' and describe
Required
Any Questions for Us?
(Please check out our website which will answer many of your questions!)
You can also email us any questions:
suffolkpianoteachers @gmail.com   (just remove the space)
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report