Private Lesson Registration
Thank you for your interest! Please fill out and submit this form with your information, and we will get in touch with available weekly slots.
Parents' Name
*
First Name
Last Name
Player's Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Birth Year
*
YYYY
Private Sessions Offered
*
Please Select
Private Session (On Ice)
Film and Private
Session Type
Please Select
1-on-1
Semi
Small Group
Nexlevel Coaches
*
Please Select
Coach Mike Nolan
Coach Reid Frizzell
Other Player Emails
Enter additional player emails separated by commas (e.g., player1@email.com , player2@email.com
What specific skills or areas would you like the coach to focus for the player/group during this private session? (Required)
*
Additional Notes or Requests
Submit
Should be Empty: