Occasional Private Lesson Program
Please complete this form before each lesson. ⚠️ Only submit this form after your lesson has been scheduled.If you have not been connected with a coach yet, please contact us first at rec@texstarlubbock.com
Child's Name
*
First Name
Last Name
Parent's Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Scheduled Private Lesson Date
*
-
Month
-
Day
Year
Date
Private Lesson Coach
*
Terms & Conditions
Please check each box to confirm you have read and agree to these conditions.
Signature
*
Submit
Should be Empty: