Private Lesson Form
Thank you for your interest in booking a private dance lesson with us! To help us tailor the session to your needs, please fill out the attached form with your details and preferences. Once we receive your completed form, we'll get back to you shortly to confirm the date and time of your lesson. We look forward to dancing with you soon!
Name
*
First Name
Last Name
Age Group
*
Please Select
Juvenile - Under 12
Junior - Under 16
Youth - Under 21
Adult
Parent/ Guardian Full Name
*
First Name
Last Name
Style of Dance
*
Please Select
Ballroom & Latin
Salsa
Argentine Tango
Jive & Rock N Roll
Would you like to book your lesson on a specific day and time, or are you flexible?
*
I need a specific day and time
I am flexible
If you need a specific day and time, please provide your preferences:
Write date and time of lesson you need
If you are flexible please let us know your general availability
Write the days and time when you are normally available
Did you hear about us through one of our students? If so, please enter a referral code below to receive a 50% discount on your first private lesson!
e.g., preferred time range, specific dates you’re unavailable, etc
Email
*
example@example.com
Contact Number:
*
Submit
Should be Empty: