* 1. I would like a Contempo Kids Representative to Visit

* 2. What is your preferred length for the visit

* 3. When would you like the visit to occur

* 4. If we are unable to visit, would you be willing to distribute information to your students about Contempo Kids (a flyer, postcard, etc.)

* 5. Do you have any other comments or feedback about our program or the role of music creation in the classroom

* 6. Please tell us your name and the best way to contact you (phone and/or email)

T