Instructors Special PTL Request Form
Please type the name of the instructor who guided you to this form
Just their first name is good
Athlete Name
*
First Name
Last Name
Parent Name (optional)
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What city do you live in?
I'm requesting lessons in
Tumbling
Stunting
Small Group Lessons: Are you interested in having others join your lesson? Each additional athlete is $15. The total cost can be divided however you choose.
No, just me (1 Athlete)
Yes, there are others who will do the lesson(s) with me (2+ Athletes)
Total number of athletes participating?
What skills are you looking to work on?
Please list 2-3 date options you could have your lesson on. If you're interested in having a weekly reoccurring lesson, please note that here.
Submit Request
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