Private Coaching Request and Payment Form

Adult Ballet Centre Private Coaching Request

Taking your Ballet and Dance to the next level
Dancers Full Name*

First NameLast Name
Phone*

Area CodePhone Number
E-mail*
Under 18 years please fill in guardian details

First NameLast Name
Guardian details Email
example@example.com
Guardians Phone Number

Area CodePhone Number
Emergency contact number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What days work best for you?*

MondayTuesdayWednesdayThursdayFridaySaturday
What time works best for you?*

MorningAfternoonEvening
Any specific date/time?

DayMonthYearHourMinutesAM/PM Option
Please choose your preferred goals from the list
Are you recovering from Injury of have any restrictions that you would like us to know about.
Please choose your preferred Coach .You can see more about each Professional Ballet Coach on our website.*

Mollie HarrisonAmy LowisAlex CramerIsabella (Bella) WagarAnka DitmannTonia WalkerJennifer Fleenor OBrienI have no preference
Please indicate your coaching booking level*

Ballet - Introduction to Classical BalletBallet - BeginnersBallet - IntermediateBallet - AdvancedBallet - IndustryAICD - Adult Ballet Assessment ProgramContemporary Dance Beginners - AdvancedStretch and Body Conditioning Private Program
Please comment if you have any further information you would like to share with us.
Payment for Private Coaching*
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One Hour Private Coaching Booking$95.00AUD
Private Coaching bookings are confirmed after payment and agreed times. You must give 24 hours' notice of cancellation for a refund or reschedule. Our specialised coaches are in high demand and have limited time for cancelations and rescheduling. We work closely with you together to achieve your goals.

Quantity
Item subtotal:$0.00AUD

Forty Five Minute Private Coaching$73.75AUD
Private Coaching bookings are confirmed after payment and agreed times. You must give 24 hours' cancellation notice for a refund or reschedule. Our specialised coaches are in high demand and have limited time for cancellations and rescheduling. We work closely with you together to achieve your goals.

Quantity

Half Hour Private Coaching Booking$52.50AUD
Private Coaching bookings are confirmed after payment and agreed times. You must give 24 hours notice of cancellation for a refund or reschedule. Our specialised coaches are in high demand and have limited time for cancellations and rescheduling. We work closely with you together to achieve your goals.

Quantity

Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD
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Adult Ballet Centre Private Coaching Request