Customer Details:
Step 1:Please Fill Out The Form Completely
Participant's Full Name
*
First Name
Last Name
Parent or Guardian's Full Name That Will Be Staying During Camp Or Lesson
*
First Name
Last Name
Parent or Guardian's Phone Number While In Myrtle Beach
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Full address of where you would like the lessons done:
*
AM or PM:
*
AM
PM
Date of lesson
*
-
Month
-
Day
Year
Date
Lessons Types
*
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( X )
One Hour & 15 Minute Lesson
$65.00
$
65.00
2 Hour Lesson
$85.00
$
85.00
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