Request for Meet & Greet
Don't feel like filling this out? No problem! Just enter your name and contact info.
Personal Information
Your Name
*
First Name
Last Name
Email
*
example@mail.com
Phone Number
Format: (000) 000-0000.
How would you prefer to be contacted?
email
text
phone
morse code (kidding, please don't select this method)
Student's Name
Student's Age
if over 18, enter "Adult"
Second student's Name (if applicable)
Second Student's Age (if applicable)
if over 18, enter "Adult"
Do you have a piano?
yes - accoustic piano
yes - full-sized digital piano
yes - small electric keyboard
no
Does the student have any previous musical education or experience?
yes
no
a little
Does the student have any learning challenges that their teachers should be aware of?
How did you hear about me?
Please Select
kijiji.ca
I saw your lawn sign
Referral
Internet Search
ARMTA Teacher Search
Other
Are you a coffee drinker?
Please Select
Yes! How else could I start the day?
No! Why would I drink such a vile liquid?
On occasion
Only if it is mostly milk and sugar
Who referred you?
If "other", please explain
Submit
Thank you! I will contact you shortly to schedule a meeting.
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