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2023 Retreat Pre-Registration

Hi there!
Are you planning to register for my Piano Teacher Retreat, taking place August 10-12, 2023? If so, the next step is to fill out the form below. Thanks so much!
--Joy

Your Name

Email

Please type carefully!

Mailing Address

Full address please, including city, state/province, and postal code.

Cell Phone

Emergency Contact Info (name, phone, and relationship to you)

Allergy (food, animals) and Food Preference Information:

What is your lodging preference for Retreat at Piano Manor?

In previous years, I've been able to offer lodging at my home (which was so fun!). This year, I unfortunately cannot offer that, but I am happy to help with accommodation arrangements as I can! Please tell me about your preferences below.
What is your lodging preference for Retreat at Piano Manor?
A
B
C
D

What are you looking forward to most about our Piano Teacher Retreat? :)

How long have you been teaching piano?

How long have you been teaching piano?
A
B
C
D
E
F
G

What else would you like me to know?

Photo/Video Release

I grant permission for photos/videos taken during the retreat to be used on Joy's blog (ColorInMyPiano.com), retreat website, related social media sites, etc.
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