Private Lessons Form

Private Lessons Form

Please fill out form - Please note all requests MUST be minimum 48 hours prior
Parent/Guardian Name*

First NameLast Name
Multiple Students
Student Name*

First NameLast NameAgeSkill Level
Student Name

First NameLast NameAgeSkill Level
Student Name

First NameLast NameAgeSkill Level
Student Name

First NameLast NameAgeSkill Level
Time Options
Saturday, Sunday & Holidays @ 9:45, 11:00, 12:30, 1:45 & 3:00
Desired Date for Lesson:

MonthDayYear
Date
Program Options*
Lesson Type*
Address

Street Address

Street Address Line 2

CityProvince

Postal
E-mail (Guardian or over 18)*
example@example.com
Mobile Number*
Additional Comments
Please indicate if you have multiple students
- Lessons are based on instructor availability. We require payment in advance in order to hold the instructor.
- All lessons are non-refundable.
- Any further information can be found on our website, www.diamondreigncheer.org
Would you like to Subscribe to promotions*

YESNO
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