CWC PL Client Inquiry

Private Lesson Client Inquiry

Please note that a 50% deposit is required in order to secure lesson date/time
Host:*

First NameLast Name
E-mail:*
Is this for a special occasion?
ex: Anniversary, Birthday, etc.
Expected Number of Attendees:*
Private lessons allow a maximum of up to six (6) guests; please include yourself in the count
Phone Number:*
Format: (000) 000-0000.
Your Address:*

Street Address

Street Address Line 2

CityState

Zip Code
Venue Location (if we are traveling to you): please leave blank if you are traveling to our studio

Street Address

Suite

CityState

Zip Code
Just Me ($100)Me + One Homie ($100 total / $50/pp)Me + Two Homies ($125 total / $42/pp)Me + Three Homies ($150 total / $37.50/pp)Me + Four Homies ($175 total / $35/pp)Me + Five Homies ($200 total / $33/pp)
AfroBEATSChair DanceLap DanceStripTEASEStruttin in StilettosTWERKfitYogaOther
Preferred Date & Time:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Secondary Date & Time:*

MonthDayYear
Date
Hour MinutesAM/PM Option
Song Choice/Artist:
Popular artists include: Beyonce, Trey Songz, Chris Brown, Rihanna, Giveon, Jeremih, Neyo, Tank, Summer Walker, H.E.R., Janet Jackson, Jacquees
Comments:
Please include any pertinent details regarding this lesson.
Should be Empty:

Private Lesson Client Inquiry