Private Lessons Form
Please fill out form - Please note all requests MUST be minimum 48 hours prior
Parent/Guardian Name
*
First Name
Last Name
Multiple Students
Please Select
YES
NO
SKILL LEVEL: N - Never Ever , B - Beginner, I - Intermediate, A - Advanced
Student Name
*
First Name
Last Name
Age
Skill Level
Student Name
First Name
Last Name
Age
Skill Level
Student Name
First Name
Last Name
Age
Skill Level
Student Name
First Name
Last Name
Age
Skill Level
Time Options
Please Select
9:45AM
11:00AM
12:30PM
1:45PM
3:00PM
5:00PM (WED, FRI & SAT ONLY)
6:15PM (FRI & SAT ONLY)
7:30PM (FRI & SAT ONLY)
Saturday, Sunday & Holidays @ 9:45, 11:00, 12:30, 1:45 & 3:00
Desired Date for Lesson:
-
Month
-
Day
Year
Date
E-mail (Guardian or over 18)
*
example@example.com
Mobile Number
*
Format: (000) 000-0000.
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.
All lessons must have a guardian present for the entire lesson.
Would you like to Subscribe to promotions
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NO
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